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DR. MAURICE EUGENE SULLIVAN III D.C.
NPI 1649496076
Chiropractor in Chatham, IL

Active since April 17, 2007
1209 N MAIN ST, #B, CHATHAM, IL 62629(217) 483-2207(217) 483-3248 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Maurice Eugene Sullivan Iii D.c. NPPES

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

DR. MAURICE EUGENE SULLIVAN III D.C. (NPI 1649496076) is an individual chiropractor in Chatham, Illinois and active in the NPI registry since April 2007. She is a graduate of Palmer College Chiropractic - Davenport (1996).

NPPES Registry Identity

NPI1649496076
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MAURICE EUGENE SULLIVAN IIICredential: D.C.
Location Address1209 N MAIN ST, #BChatham, IL 62629-0264
Mailing AddressPo Box 264Chatham, IL 62629-0264 · (217) 483-2207 · Fax (217) 483-3248
Phone(217) 483-2207
Fax(217) 483-3248
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1996
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649496076 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.
1209 N MAIN ST, Chatham, IL 62629
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Other Identifiers 2

Medicare UPINU65745IL
Medicare ID-Type Unspecified241020IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maurice Eugene Sullivan Iii D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789764200
PECOS Enrollment IDI20080109000312

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
345 services48 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL ROBERT JONES D.C.
Chiropractor
1209 N MAIN ST, SUITE B
CHATHAM, IL 62629
Sangamon County (217) 483-2207
JONES CHIROPRACTIC SC
Chiropractor
1209 N MAIN ST, SUITE A
CHATHAM, IL 62629
Sangamon County (217) 483-2207

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 Maurice Sullivan's NPI number?

The NPI number for Maurice Sullivan is 1649496076. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Maurice Sullivan located?

Maurice Sullivan practices at 1209 N Main St #b, Chatham, IL 62629. The listed phone number is (217) 483-2207.

What is Maurice Sullivan's specialty?

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

Is Maurice Sullivan enrolled in Medicare?

Yes. Maurice Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maurice Sullivan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.