Provider Demographics
NPI:1134120900
Name:GASKEY, DAWN REGINA (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:REGINA
Last Name:GASKEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 COLONY CT
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4416
Mailing Address - Country:US
Mailing Address - Phone:630-776-6379
Mailing Address - Fax:630-396-2240
Practice Address - Street 1:381 N YORK ST
Practice Address - Street 2:SUITE 23
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2364
Practice Address - Country:US
Practice Address - Phone:630-478-9311
Practice Address - Fax:630-396-2240
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5477795OtherFIRST HEALTH PIN
IL7916367OtherAETNA PIN
IL2264221OtherUHC PIN
IL4236188OtherCIGNA PIN
IL02232247OtherBLUE CROSS & BLUE SHIELD
IL646275OtherACN PIN
IL4236188OtherCIGNA PIN
IL204162Medicare PIN