Southport Grace Wellness Center LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHPORT GRACE WELLNESS CENTER LTD.

Practice address

1209 W. Grace St.
Chicago, IL 60613

Phone

(773) 525-2225

NPI assigned

Jun 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher C. Wolcott, DCNPI 1053469817

Title

President

Phone

(773) 525-2225

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher C Wolcott, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1053469817
  Authorized official Same address or phone
• Keith E Olding, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1881786424
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700089430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W. GRACE ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-525-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W. GRACE ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-525-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT GRACE WELLNESS CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-525-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southland Home Care, LLC Dba Acti-Kare Responsive in-Home Care/South Holland
• Southland Transportation LLC
• Southpoint Nursing and Rehabilitation Center LLC
• Southport Eye Associates LTD (Custom Eyes)
• Southport Grace Chiropractic and Wellness LLC
• Southshore Care Center, LLC (South Shore Nursing & Rehab Center)
• Southshore Medi Lab Inc
• Southside Family Medicine PC
• Southside Health Association
• Southside Primary Care Group SC (Metro Medical Associates)

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.