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ILLINOIS SPINE AND SPORT LLC
NPI 1619649001
Chiropractor in Northfield, IL

Active since October 04, 2021
2 NORTHFIELD PLZ STE 100, NORTHFIELD, IL 60093(815) 228-0992 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2021, Oct 4, 2021 (2 updates tracked since 2021).

About Illinois Spine And Sport Llc NPPES

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

ILLINOIS SPINE AND SPORT LLC (NPI 1619649001) is a healthcare organization registered as a chiropractor in Northfield, Illinois and active in the NPI registry since October 2021. The organization lists Jon Sebby, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1619649001
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameILLINOIS SPINE AND SPORT LLC
Location Address2 NORTHFIELD PLZ STE 100Northfield, IL 60093-1217
Mailing Address2 Northfield Plz Ste 100Northfield, IL 60093-1217 · (847) 957-8660
Phone(815) 228-0992
Organization SubpartNo
Authorized OfficialJon SebbyOwner/chiropractor · (815) 228-0992
Enumeration DateOctober 4, 2021
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1619649001 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.
2 NORTHFIELD PLZ STE 100, Northfield, IL 60093
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Other Identifiers 1

Other038011836IL · Chiropractic License

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Spine And Sport Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20211213000372Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Illinois Spine And Sport LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jon Sebby, D.C.
Chiropractic
NPI 1588967079
2 NORTHFIELD PLZ STE 100
Northfield, IL 60093
(847) 957-8660
✔ 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 Illinois Spine And Sport LLC's NPI number?

The NPI number for Illinois Spine And Sport LLC is 1619649001. It was assigned to this organization in the NPPES registry on October 4, 2021.

Where is Illinois Spine And Sport LLC located?

Illinois Spine And Sport LLC is located at 2 Northfield Plz Ste 100, Northfield, IL 60093. The listed phone number is (815) 228-0992.

What is Illinois Spine And Sport LLC's specialty?

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

Is Illinois Spine And Sport LLC enrolled in Medicare?

Yes. Illinois Spine And Sport LLC is registered in the Medicare PECOS enrollment system.

When is Illinois Spine And Sport LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Illinois Spine And Sport LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Illinois Spine And Sport LLC. 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 Illinois Spine And Sport LLC was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.