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WICKER PARK SPINE AND STABILITY, LLC
NPI 1184370538
Chiropractor in Chicago, IL

Active since February 24, 2022
1641-1643 W NORTH AVE, UNIT 1, CHICAGO, IL 60622(312) 928-9282(312) 588-7211 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wicker Park Spine And Stability, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WICKER PARK SPINE AND STABILITY, LLC (NPI 1184370538) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since February 2022. The organization lists Jodi Heather Kirsch, Owner, as its authorized official.

NPPES Registry Identity

NPI1184370538
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWICKER PARK SPINE AND STABILITY, LLC
Location Address1641-1643 W NORTH AVE, UNIT 1Chicago, IL 60622
Mailing Address212 N Carpenter St Unit A1a2Chicago, IL 60607-1713 · (312) 928-9282 · Fax (312) 588-7211
Phone(312) 928-9282
Fax(312) 588-7211
Organization SubpartNo
Authorized OfficialJodi Heather KirschOwner · (312) 928-9282
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 12, 2022
✔ NPI 1184370538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
1641-1643 W NORTH AVE, Chicago, IL 60622
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wicker Park Spine And Stability, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wicker Park Spine And Stability, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Eric Ghiselli, D.C.
Chiropractic
NPI 1467600312
2936 N RACINE AVE APT 1F
Chicago, IL 60657
(765) 532-5981
✔ Accepts Medicare1.8 mi
Evan Soutter, DC
Chiropractic
NPI 1376263459
1749 N WELLS ST
Chicago, IL 60614
(312) 440-9646
✔ Accepts Medicare1.8 mi
Jodi Kirsch, D.C.
Chiropractic
NPI 1407154446
212 N CARPENTER ST
Chicago, IL 60607
(312) 928-9282
✔ Accepts Medicare1.9 mi
Daniel Durkin, DC
Chiropractic
NPI 1770091688
245 S GARY AVE STE 100
Bloomingdale, IL 60108
(630) 933-4550
✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wicker Park Spine And Stability, LLC's NPI number?

The NPI number for Wicker Park Spine And Stability, LLC is 1184370538. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Wicker Park Spine And Stability, LLC located?

Wicker Park Spine And Stability, LLC is located at 1641-1643 W North Ave Unit 1, Chicago, IL 60622. The listed phone number is (312) 928-9282.

What is Wicker Park Spine And Stability, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wicker Park Spine And Stability, LLC enrolled in Medicare?

Yes. Wicker Park Spine And Stability, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wicker Park Spine And Stability, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Wicker Park Spine And Stability, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wicker Park Spine And Stability, LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.