SERENA KLEINSTUB DC, P.C.
NPI 1114401270
Chiropractor in Deer Park, IL

Active since September 24, 2018
21805 W FIELD PKWY STE 120, DEER PARK, IL 60010(224) 848-6003(224) 848-6004 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2025, Sep 24, 2018 (2 updates tracked since 2018).

About Serena Kleinstub Dc, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA KLEINSTUB DC, P.C. (NPI 1114401270), doing business as Deer Park Chiropractic, is a healthcare organization registered as a chiropractor in Deer Park, Illinois and active in the NPI registry since September 2018. The organization lists Serena Salerno, Corporate Vice President/secretary, as its authorized official.

NPPES Registry Identity

NPI1114401270
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSERENA KLEINSTUB DC, P.C.
Location Address21805 W FIELD PKWY STE 120Deer Park, IL 60010-3231
Mailing Address21805 W Field Pkwy Ste 120Deer Park, IL 60010-3231 · (224) 848-6003 · Fax (224) 848-6004
Fax(224) 848-6004
Organization SubpartNo
Authorized OfficialSerena SalernoCorporate Vice President/secretary · (806) 928-1858
Enumeration DateSeptember 24, 2018
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1114401270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
21805 W FIELD PKWY STE 120, Deer Park, IL 60010

Other Names 2

Doing Business AsDeer Park Chiropractic
Doing Business AsSerene Healing Chiropractic

Other Identifiers 2

Other1193200IL · American Specialty Health
Other067798IL · Optum

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Kleinstub Dc, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serena Kleinstub Dc, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1710297932
21805 W FIELD PKWY STE 120
Deer Park, IL 60010
(224) 848-6003
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serena Kleinstub Dc, P.C.'s NPI number?

The NPI number for Serena Kleinstub Dc, P.C. is 1114401270. It was assigned to this organization in the NPPES registry on September 24, 2018. The provider is doing business as Deer Park Chiropractic and Serene Healing Chiropractic.

Where is Serena Kleinstub Dc, P.C. located?

Serena Kleinstub Dc, P.C. is located at 21805 W Field Pkwy Ste 120, Deer Park, IL 60010. The listed phone number is (224) 848-6003.

What is Serena Kleinstub Dc, P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Serena Kleinstub Dc, P.C. enrolled in Medicare?

Yes. Serena Kleinstub Dc, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serena Kleinstub Dc, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Serena Kleinstub Dc, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serena Kleinstub Dc, P.C. was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.