Individual provider Active NPI

Serena Salerno, DC

  • Chiropractor
  • Deer Park, IL
National Provider Identifier
1710297932
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012056 Issued in IL
Practice address
21805 W Field Pkwy Ste 120
Deer Park, IL 60010-3228
Phone
(224) 848-6003
Fax
(224) 848-6004
NPI assigned
Oct 21, 2010
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012056 IL Primary

Addresses

Primary practice location

21805 W Field Pkwy Ste 120
Deer Park, IL 60010-3228

Mailing address

21805 W Field Pkwy Ste 120
Deer Park, IL 60010-3231
Phone (224) 848-6003

Other identifiers 3

IdentifierTypeStateIssuer
067798OtherILOPTUM
1193200OtherILAMERICAN SPECIALTY HEALTH
537465489OtherILBCBS

Other names 1

  • Dr. Serena Kleinstub Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000441 IL Practitioner - Chiropractic 4688823743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21805 W Field Pkwy
Suite 120
Deer Park, IL 60010-3231
Phone (806) 928-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012056ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Serena Kleinstub DC, P.C. Chiropractor CurrentSince Sep 10, 2018 Accepting new patients
Chiro One Wellness Center of Yorkville LLC Chiropractor CurrentSince Jul 19, 2012 Accepting new patients

Locations

7735 Solutions Ctr
Chicago, IL 60677

21805 W Field Pkwy
Ste 120
Deer Park, IL 60010
Phone (224) 848-6003

942 N Bridge St
Yorkville, IL 60560
Phone (417) 593-6037

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1710297932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21805 W FIELD PKWY STE 120",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600103231",
            "telephone_number": "224-848-6003",
            "fax_number": "224-848-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21805 W FIELD PKWY STE 120",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600103228",
            "telephone_number": "224-848-6003",
            "fax_number": "224-848-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "SERENA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "067798",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1193200",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "537465489",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "KLEINSTUB",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deer Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.