Individual provider Active NPI

Crystal Regina Surprenant, D.C.

  • Chiropractor
  • Grayslake, IL
National Provider Identifier
1992058747
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012253 Issued in IL
Practice address
1227 N Il Route 83
Ste a
Grayslake, IL 60030-7932
Phone
(847) 548-4800
Fax
(847) 548-4804
NPI assigned
Oct 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012253 IL Primary

Addresses

Primary practice location

1227 N Il Route 83
Ste a
Grayslake, IL 60030-7932

Mailing address

1227 N Il Route 83
Ste a
Grayslake, IL 60030-7932
Phone (847) 548-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000242 IL Practitioner - Chiropractic 4587801410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1227 N Il Route 83
Suite a
Grayslake, IL 60030-7957
Phone (847) 548-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Health Center Chiropractor CurrentSince May 15, 2017 Accepting new patients
Surprenant Chiropractic PLLC CurrentSince May 15, 2017 Accepting new patients

Locations

1227 N State Route 83
Ste A
Grayslake, IL 60030
Phone (847) 548-4800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1992058747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N IL ROUTE 83",
            "address_2": "STE A",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307932",
            "telephone_number": "847-548-4800",
            "fax_number": "847-548-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N IL ROUTE 83",
            "address_2": "STE A",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307932",
            "telephone_number": "847-548-4800",
            "fax_number": "847-548-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURPRENANT",
        "first_name": "CRYSTAL",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.