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SOUTHPORT GRACE WELLNESS CENTER LTD.
NPI 1700089430
Chiropractor in Chicago, IL

Active since June 08, 2007
1209 W. GRACE ST., CHICAGO, IL 60613(773) 525-2225 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southport Grace Wellness Center Ltd. NPPES

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

SOUTHPORT GRACE WELLNESS CENTER LTD. (NPI 1700089430) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since June 2007. The organization lists Christopher C. Wolcott, President, as its authorized official.

NPPES Registry Identity

NPI1700089430
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHPORT GRACE WELLNESS CENTER LTD.
Location Address1209 W. GRACE ST.Chicago, IL 60613
Mailing Address1209 W. Grace St.Chicago, IL 60613 · (773) 525-2225
Phone(773) 525-2225
Organization SubpartNo
Authorized OfficialChristopher C. WolcottPresident · (773) 525-2225
Enumeration DateJune 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700089430 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 W. GRACE ST., Chicago, IL 60613
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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

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 Southport Grace Wellness Center Ltd.'s NPI number?

The NPI number for Southport Grace Wellness Center Ltd. is 1700089430. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Southport Grace Wellness Center Ltd. located?

Southport Grace Wellness Center Ltd. is located at 1209 W. Grace St., Chicago, IL 60613. The listed phone number is (773) 525-2225.

What is Southport Grace Wellness Center Ltd.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Southport Grace Wellness Center Ltd. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.