DR. TIMOTHY L WENNEBORG (DC) – Chiropractor, NPI 1821089780

DR. TIMOTHY L WENNEBORG (DC) is a healthcare provider. based in Springfield, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials DC. The NPI Number for DR. TIMOTHY L WENNEBORG (DC) is 1821089780

Main info

Male
37 Years Of Experience
Name
DR. TIMOTHY L WENNEBORG (DC)
NPI
1821089780
Phone
(207) 544-5213
Address
1045 S 2ND ST
Enumeration Date
31 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
2175445213
Graduation Year
1989 (37 years ago)
PAC ID
0941461958
Professional Enrollment ID
I20120419000220
Address ID
IL627043004SP1045XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. TIMOTHY L WENNEBORG (DC)

  • 1045, South 2nd Street, Vinegar Hill, Springfield, Sangamon County, Illinois, 62704, United States

    SPRINGFIELD, IL 627043004

    Phone: (207) 544-5213

    Fax: (217) 544-8792

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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
I20120419000220IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions16215$0
View full utilization report →

Insurance plans in this area (ZIP 62704)

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Reviews

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Frequently asked questions

What federal number belongs to DR. TIMOTHY L WENNEBORG (DC)?
The federal identifier for DR. TIMOTHY L WENNEBORG (DC) is NPI 1821089780.
Is DR. TIMOTHY L WENNEBORG (DC)'s NPI currently valid?
The extract we use shows DR. TIMOTHY L WENNEBORG (DC) as active.
Does DR. TIMOTHY L WENNEBORG (DC) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. TIMOTHY L WENNEBORG (DC). Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY L WENNEBORG (DC) practice in Illinois?
You will see Springfield, Illinois on file for DR. TIMOTHY L WENNEBORG (DC) alongside any extra practice locations.
Is DR. TIMOTHY L WENNEBORG (DC) a real provider?
This page reflects official NPPES data for NPI 1821089780. Always confirm identity and privileges with the practice and licensing boards.

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