Dr Jason Wayne Ingham, DC, CCSP | |
2828 N Clark St, Chicago, IL 60657-5775 | |
(773) 868-0347 | |
(773) 868-0401 |
Full Name | Dr Jason Wayne Ingham |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 2828 N Clark St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295835445 | NPI | - | NPPES |
01626851 | Other | IL | BLUE CROSS BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038008978 (Illinois) | Primary |
111NS0005X | Chiropractor - Sports Physician | 038-008978 (Illinois) | Secondary |
Provider Name | Jason W Ingham Dc Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992982664 PECOS PAC ID: 9931162237 Enrollment ID: O20041108000900 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Wayne Ingham, DC, CCSP 2828 N Clark St, Chicago, IL 60657-5775 Ph: (773) 868-0347 | Dr Jason Wayne Ingham, DC, CCSP 2828 N Clark St, Chicago, IL 60657-5775 Ph: (773) 868-0347 |
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