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

Individual provider Chiropractor · NPI 1689684979

Dr. Glen John Nisivoccia, DC is registered under Chiropractic in Mokena, Illinois. Qualified in 1985, 41 years ago. Practices with Frankfort Spinal Rehabilitation and Physical Therapy Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
41
Licensed in
IL
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

19600 La Grange Rd
Mokena, IL 60448-9321 Not confirmed with CMS for 18 years — call before visiting
Phone: (708) 478-3000
Fax: (708) 478-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038004843 (IL)

Record details

NPI number1689684979
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESJune 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Frankfort Spinal Rehabilitation And Physical Therapy Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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