Southport Grace Chiropractic and Wellness LLC
NPI 1629539291 · Chiropractor · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southport Grace Chiropractic and Wellness LLC is a Chiropractor organization in Chicago, IL (NPI 1629539291).
Provider details
- NPI number
- 1629539291
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Keith Olding, Chiropractor(419) 628-4003
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-27
- Last updated
- 2019-05-08
Frequently asked questions
- What is Southport Grace Chiropractic and Wellness LLC's NPI number?
- Southport Grace Chiropractic and Wellness LLC's National Provider Identifier (NPI) is 1629539291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southport Grace Chiropractic and Wellness LLC?
- Southport Grace Chiropractic and Wellness LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Southport Grace Chiropractic and Wellness LLC located?
- Southport Grace Chiropractic and Wellness LLC's practice location on file with NPPES is 1209 W Grace St, Chicago, IL 60613-2805.
- What is Southport Grace Chiropractic and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Southport Grace Chiropractic and Wellness LLC is (772) 525-2225.
- Does Southport Grace Chiropractic and Wellness LLC accept Medicare?
- Southport Grace Chiropractic and Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southport Grace Chiropractic and Wellness LLC?
- The authorized official listed on Southport Grace Chiropractic and Wellness LLC's NPPES record is Keith Olding, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southport Grace Chiropractic and Wellness LLC's NPI active?
- Yes — Southport Grace Chiropractic and Wellness LLC's NPI (1629539291) is active in the NPPES registry as of the last update on 2019-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.