DR. PAUL MARK SULLIVAN (D.C.) – Chiropractor, NPI 1023000700

DR. PAUL MARK SULLIVAN (D.C.) is a healthcare provider. based in Mokena, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CH7806 (FL). The NPI Number for DR. PAUL MARK SULLIVAN (D.C.) is 1023000700

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL MARK SULLIVAN (D.C.)
NPI
1023000700
Phone
(708) 460-8688
Address
19454 TRAMORE LN
Enumeration Date
18 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
7084608688
Graduation Year
1998 (28 years ago)
PAC ID
8224299151
Group Practice PAC ID
7416051727
Professional Enrollment ID
I20120419000519
Address ID
IL604621900OR10751STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. PAUL MARK SULLIVAN (D.C.)

  • 19454, Tramore Lane, Mokena, Will County, Illinois, 60448, United States

    MOKENA, IL 604488594

    Phone: (708) 460-8688

    Fax: (708) 460-9272

    Type: Mailing

  • 10751, West 143rd Street, Orland Park, Orland Township, Cook County, Illinois, 60462, United States

    ORLAND PARK, IL 604621900

    Phone: (708) 460-8688

    Fax: (708) 460-9272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-05-02 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120419000519IChiropracticILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions34451$0
98941Chiropractic manipulative treatment, 3-4 spinal regions4711$0
View full utilization report →

Insurance plans in this area (ZIP 60448)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416051727View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

Can I verify DR. PAUL MARK SULLIVAN (D.C.) with an NPI only?
You can start verification with NPI 1023000700 for DR. PAUL MARK SULLIVAN (D.C.), then check state licensing separately.
Does CMS list DR. PAUL MARK SULLIVAN (D.C.) as active?
Yes — DR. PAUL MARK SULLIVAN (D.C.) is active in the NPI listing used on this page.
What is DR. PAUL MARK SULLIVAN (D.C.)'s primary classification?
Chiropractor is the headline specialty for DR. PAUL MARK SULLIVAN (D.C.) here. Clinical services aligned with this taxonomy classification.
Does DR. PAUL MARK SULLIVAN (D.C.) list a practice location?
Patients near Mokena, Illinois may find DR. PAUL MARK SULLIVAN (D.C.) in results; validate coverage separately.
Is the information about DR. PAUL MARK SULLIVAN (D.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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