SOUTH SUBURBAN CHIROPRACTIC CLINIC SC
NPI 1124168281
Chiropractor in Orland Park, IL
About South Suburban Chiropractic Clinic Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SUBURBAN CHIROPRACTIC CLINIC SC (NPI 1124168281) is a healthcare organization registered as a chiropractor in Orland Park, Illinois and active in the NPI registry since February 2007. The organization lists Kathy Anne Grennell, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Suburban Chiropractic Clinic Sc 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 South Suburban Chiropractic Clinic Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 South Suburban Chiropractic Clinic PC's NPI number?
The NPI number for South Suburban Chiropractic Clinic PC is 1124168281. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as South Suburban Chiropractic Clinic Sc.
Where is South Suburban Chiropractic Clinic PC located?
South Suburban Chiropractic Clinic PC is located at 14277 S. Wolf Rd., Orland Park, IL 60467. The listed phone number is (708) 403-3252.
What is South Suburban Chiropractic Clinic PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is South Suburban Chiropractic Clinic PC enrolled in Medicare?
Yes. South Suburban Chiropractic Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Suburban Chiropractic Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South Suburban Chiropractic Clinic PC. 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 South Suburban Chiropractic Clinic PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# South Suburban Chiropractic Clinic Sc · NPI 1124168281
Chiropractor organization in Orland Park, Illinois. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1124168281 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Legal business name:** South Suburban Chiropractic Clinic Pc
- **Organization subpart:** No
- **Authorized official:** Kathy Grennell, OFFICE MANAGER
## Practice location
- **Address:** 14277 S. WOLF RD., Orland Park, IL 60467
- **Phone:** (708) 403-3252 · **Fax:** (708) 403-3251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124168281) · Data from the CMS NPPES public registry.