Active NPI
Paul Mark Sullivan, D.C.
- Chiropractor
- Orland Park, IL
National Provider Identifier
1023000700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2645935 | Other | IL | AETNA HMO |
| 7199255 | Other | IL | NON-HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH7806 | FL | MD | Chiropractor |
| 038-008616 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orland Park Chiropractic LTD | Chiropractor | Current | 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.
-
- Chiropractor
- Orland Park, IL
- NPI 1689728594
-
- Chiropractor
- Tampa, FL
- NPI 1073568572
-
- Chiropractor
- St Petersburg, FL
- NPI 1740300854
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.