Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376263459 Individual Practitioner Male Practitioner

Dr. Evan Soutter , DC

Chiropractor • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Evan Soutter, DC is a certified Chiropractor practicing in Chicago, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Soutter delivers high-quality medical care to the local community at 1749 N WELLS ST.

Dr. Soutter is affiliated with Wicker Park Spine And Stability, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1749 N Wells St

Chicago, IL 606145877

Telephone 3124409646
Fax 7733379106
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Chicago, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -14.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
652 Specialists

Practicing in Chicago, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Soutter (5 Years) 5 Yrs
Chicago Specialty Average (19.4 Years) 19.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-08-31
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038013891

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License IN 038013891

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Il State Provider License
03803891 (IL)

Hospital & Practice Group Affiliations

Wicker Park Spine And Stability, Llc

1641 -1643 W N Ave, Chicago, IL 60622

Phone: 3129289282

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Paulina Vivanco , COTA, L

Occupational Therapy Assistant

NPI 1043170251

Certified Occupational Therapy Assistant, L

NPI 1134164379

Doctor of Chiropractic

Victoria Munson , OT

Occupational Therapist - Physical Rehabilitation

NPI 1205516085

Occupational Therapist

Benjamin Ezsias

Chiropractor

NPI 1215886999
NPI 1225442502

Doctor of Chiropractic

Tarun Thummar

Physical Therapist

NPI 1245505841

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2022

Registered at 1749 N WELLS ST, CHICAGO, IL 606145877 (Tel: 3124409646)

📍
Updated Business Mailing Address August 31, 2022

Registered at 1749 N WELLS ST, CHICAGO, IL 606145877 (Tel: 3124409646)

👤
Provider Name / Credentials Updated August 31, 2022

Recorded as EVAN SOUTTER, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2022

Chiropractor (License #038013891 in IN)

🟢
Initial NPI Registration & Enumeration August 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376263459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2022
Last Update: August 31, 2022
Sole Proprietor: No

Mailing Address

1749 N Wells St

Chicago, IL 606145877

Phone: 3124409646

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.