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 is a Chiropractor 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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