Individual provider Active NPI

Paul Mark Sullivan, D.C.

  • Chiropractor
  • Orland Park, IL
National Provider Identifier
1023000700
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
10751 W 143Rd St
Orland Park, IL 60462-1900
Phone
(708) 460-8688
Fax
(708) 460-9272
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7806 FL
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

10751 W 143Rd St
Orland Park, IL 60462-1900

Mailing address

19454 Tramore LN
Mokena, IL 60448-8594
Phone (708) 460-8688

Other identifiers 2

IdentifierTypeStateIssuer
2645935OtherILAETNA HMO
7199255OtherILNON-HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000519 IL Practitioner - Chiropractic 8224299151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orland Park Chiropractic LTDGroup PAC ID 7416051727, 2 clinicians

Practice addresses (Care Compare)

10751 W 143 St
Orland Park, IL 60462-1900
Phone (708) 460-8688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7806FLMDChiropractor
038-008616ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orland Park Chiropractic LTD Chiropractor CurrentSince Mar 25, 2001 Accepting new patients
Chiromed Chiropractic Center, Inc Chiropractor Past Accepting new patients
Fallon Chiropractic Services Inc Chiropractor Past Accepting new patients

Locations

10751 W 143rd St
Orland Park, IL 60462
Phone (708) 460-4162

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023000700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19454 TRAMORE LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488594",
            "telephone_number": "708-460-8688",
            "fax_number": "708-460-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621900",
            "telephone_number": "708-460-8688",
            "fax_number": "708-460-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PAUL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2645935",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-HMO",
            "identifier": "7199255",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.