Provider Demographics
NPI:1255302840
Name:GASIOROWSKI, ASHLIN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLIN
Middle Name:JOSEPH
Last Name:GASIOROWSKI
Suffix:
Gender:M
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:PO BOX 5988
Mailing Address - Street 2:DEPT. 20-5042
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-5988
Mailing Address - Country:US
Mailing Address - Phone:630-468-1824
Mailing Address - Fax:630-468-1834
Practice Address - Street 1:1954 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1016
Practice Address - Country:US
Practice Address - Phone:847-475-4545
Practice Address - Fax:847-475-1371
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1635132OtherBLUE CROSS ID #
ILK36007OtherMEDICARE #
IL1635132OtherBLUE CROSS ID #
ILK36007OtherMEDICARE #