SURPRENANT CHIROPRACTIC PLLC
NPI 1184163628
Clinic/Center in Grayslake, IL
- Organization
- Clinic/Center
About SURPRENANT CHIROPRACTIC PLLC
This page provides the complete NPI Profile along with additional information for Surprenant Chiropractic Pllc, a provider established in Grayslake, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1184163628 assigned on February 2017. The practitioner's primary taxonomy code is 261Q00000X with license number 038.012253 (IL). The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Dr. Crystal Regina Surprenant D.c. (Member Manager/owner)
- NPI
- 1184163628 Verify this NPI
- Provider Name
- SURPRENANT CHIROPRACTIC PLLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1227 N ILLINOIS ROUTE 83 SUITE A GRAYSLAKE, IL 60030
- Location Phone
- (847) 548-4800
- Mailing Address
- 1227 N ILLINOIS RT 83 SUITE A GRAYSLAKE, IL 60030
- Mailing Phone
- (847) 548-4800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2017
- Last Update Date
- 02-12-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 038.012253
- License State
- IL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184163628, enumerated as an "organization" on February 16, 2017.
The provider is located at 1227 N ILLINOIS ROUTE 83 SUITE A GRAYSLAKE, IL 60030 and the phone number is (847) 548-4800.
Clinic/Center with taxonomy code 261Q00000X.
