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South Suburban Chiropractic Clinic PC

NPI 1124168281ActiveOrganization· Chiropractor· Orland Park, IL

Chiropractor in Orland Park, Illinois, registered in NPPES in February 2007. The authorized official on file is Kathy Anne Grennell, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1124168281
StatusActive
Entity typeOrganization
NPI issuedFeb 7, 2007
Last updated in NPPESJul 21, 2022
Certified by providerJan 20, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X—IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

Other chiropractors in Orland Park

All 61 chiropractors in Orland Park · All chiropractors in Illinois