South Suburban Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTH SUBURBAN CHIROPRACTIC CLINIC PC

Practice address

14277 S. Wolf Rd.
Orland Park, IL 60467

Phone

(708) 403-3252

Fax

(708) 403-3251

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Kathy Anne Grennell

Title

Office Manager

Phone

(708) 403-3252

Specialties & licenses 1

Addresses

Other names 1

• SOUTH SUBURBAN CHIROPRACTIC CLINIC SC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micheal John Faber, D.C.

  • Chiropractor
  • Orland Park, IL
  • NPI 1073863247

  IL

  Medicare reassignment
• Jason William Litwin, D.C.

  • Chiropractor
  • Appleton, WI
  • NPI 1962573501
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124168281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14277 WOLF RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671932",
            "telephone_number": "708-403-3252",
            "fax_number": "702-403-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14277 S. WOLF RD.",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-403-3252",
            "fax_number": "708-403-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "GRENNELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-403-3252"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SUBURBAN CHIROPRACTIC CLINIC SC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH SUBURBAN CHIROPRACTIC CLINIC SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Craig Sonneveld, D.D.S.
• Heather Sorfleet
• William J Soulian, PTA
• South Campus Partners, Inc.
• South Chicago Surgical Solutions
• Southwest Dental Group
• Southwest Dermatology, PC
• Southwest Endodontics
• Southwest Foot and Ankle, LLC
• Southwest Head & Neck Surgical Assoc SC

• All providers in Orland Park, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.