Organization
JASON W INGHAM DC SC
Active
Other names
Advanced Spine & Sports Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WAYNE INGHAM D.C. (PRESIDENT)
(773) 868-0347
Entity
Organization
Contact information
Practice address
2828 N CLARK ST, CHICAGO, IL 60657-5775
(773) 868-0347
(773) 868-0401
Mailing address
2828 N CLARK ST, CHICAGO, IL 60657-5775
(773) 868-0347
(773) 868-0401
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038008978
IL
Other
Enumeration date
01/24/2008
Last updated
09/11/2023
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