Tanya Freseth (NPI# 1154746469, PAC ID# 8022373992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1154746469 |
| PAC ID by PECOS | 8022373992 |
| Professional Enrollment ID | I20180523002363 |
| Full Name | Tanya Freseth |
| Organization Legal Name | ACTIVE WELLNESS LLC |
| Address |
4555 N Lincoln Ave Chicago IL 60625-2102 |
| Phone Number | 7733288153 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3072752864 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4555 N Lincoln Ave, Chicago, IL 60625-2102 | 7733288153 | ACTIVE WELLNESS LLC |
| Organization Legal Name | ACTIVE WELLNESS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raqaq A Alebiosu | Chiropractic | Active Wellness LLC | 560 W Diversey Pkwy, Chicago, IL 60614-1678 |
| Stephanie Jo Boehm | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Danielle Dever | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Vishva M Desai | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Staci R Ahrens | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Andrea E Lubaway | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Maggie M Kasten | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Street Address |
4555 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60625-2102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Morris | Chiropractic | 4555 N Lincoln Ave, Chicago, IL 60625-2102 | |
| Stephanie Jo Boehm | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Danielle Dever | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Vishva M Desai | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Staci R Ahrens | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Andrea E Lubaway | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Maggie M Kasten | Chiropractic | Active Wellness LLC | 4555 N Lincoln Ave, Chicago, IL 60625-2102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Birte Wolff | Obstetrics/gynecology | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Jennifer A Spanier-stiasny | Gastroenterology | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Kavita Singh | Gastroenterology | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Eduardo J Villa | Internal Medicine | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Yelena Kalugina | Pathology | Sch Laboratory Physicians Sc | 5145 N Calfornia Ave, Chicago, IL 60625-0051 |
| Perry Guariglia | Pathology | Sch Laboratory Physicians Sc | 5145 N Calfornia Ave, Chicago, IL 60625-0051 |
| Loren D Dardi | Pathology | Sch Laboratory Physicians Sc | 5145 N Calfornia Ave, Chicago, IL 60625-0051 |
| Kara Mulligan | Physician Assistant | Conventions Psychiatry and Counseling, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| Kenneth A Fils | Psychologist, Clinical | Davken Associates, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| Treva B Anderson | Psychologist, Clinical | Davken Associates, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| Find all physicians in zip 60625 | |||
| City | CHICAGO |
| Zip Code | 60625 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CHICAGO + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.