Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southport Grace Wellness Center Ltd

Organization Chiropractor · NPI 1700089430

Southport Grace Wellness Center Ltd provides Chiropractor services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1209 W Grace St
Chicago, IL 60613
Phone: (773) 525-2225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X (IL)

Record details

NPI number1700089430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Wolcott — President · (773) 525-2225
NPI enumeratedJune 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1209 W. Grace St., Chicago, IL 60613

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