UNIVERSAL WELLNESS SOURCE AT LAKESHORE EAST SC
NPI 1942574959
Chiropractor in Chicago, IL

Active since March 08, 2012
333 E BENTON PL, 104, CHICAGO, IL 60601(402) 578-5133 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2025, Sep 30, 2024 (2 updates tracked since 2024).

About Universal Wellness Source At Lakeshore East Sc NPPES

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

UNIVERSAL WELLNESS SOURCE AT LAKESHORE EAST SC (NPI 1942574959), doing business as Universal Health Source, is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since March 2012. The organization lists Kaylynne M Gasiorowski, President/owner/chiropractic Doctor, as its authorized official.

NPPES Registry Identity

NPI1942574959
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameUNIVERSAL WELLNESS SOURCE AT LAKESHORE EAST SC
Location Address333 E BENTON PL, 104Chicago, IL 60601-7412
Mailing Address5501 S 208th CirElkhorn, NE 68022-3138 · (402) 578-5133
Organization SubpartNo
Authorized OfficialKaylynne M GasiorowskiPresident/owner/chiropractic Doctor · (402) 578-5133
Enumeration DateMarch 8, 2012
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1942574959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
333 E BENTON PL, Chicago, IL 60601

Other Names 1

Doing Business AsUniversal Health Source

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Universal Wellness Source At Lakeshore East Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Universal Wellness Source At Lakeshore East Sc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1255302840
1954 DEMPSTER ST
Evanston, IL 60202
(847) 475-4545
✔ Accepts Medicare12 mi
Chiropractic
NPI 1841731635
2100 WALNUT ST
Park Ridge, IL 60068
(847) 312-8179
✔ Accepts Medicare16 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 Universal Wellness Source At Lakeshore East Sc's NPI number?

The NPI number for Universal Wellness Source At Lakeshore East Sc is 1942574959. It was assigned to this organization in the NPPES registry on March 8, 2012. The provider is doing business as Universal Health Source.

Where is Universal Wellness Source At Lakeshore East Sc located?

Universal Wellness Source At Lakeshore East Sc is located at 333 E Benton Pl 104, Chicago, IL 60601. The listed phone number is (402) 578-5133.

What is Universal Wellness Source At Lakeshore East Sc's specialty?

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

Is Universal Wellness Source At Lakeshore East Sc enrolled in Medicare?

Yes. Universal Wellness Source At Lakeshore East Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Universal Wellness Source At Lakeshore East Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Universal Wellness Source At Lakeshore East Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Universal Wellness Source At Lakeshore East Sc was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.