SPRING GROVE MEDICAL OFFICES LTD – Chiropractor, NPI 1740332592

SPRING GROVE MEDICAL OFFICES LTD is a healthcare provider. based in Spring grove, Illinois. specializing in Chiropractor. The organization holds a License No. 038-007206 (IL). The NPI Number for SPRING GROVE MEDICAL OFFICES LTD is 1740332592

Main info

Organization
Name
SPRING GROVE MEDICAL OFFICES LTD
NPI
1740332592
Phone
(815) 675-0675
Address
2100 ROUTE 12
Authorized Official
RALPH DESTEPHANO PRESIDENT DC
Enumeration Date
18 January 2007
Last Update Date
20 September 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SPRING GROVE MEDICAL OFFICES LTD

  • 2100, Route 12, Prince County, Prince Edward Island, Canada

    SUITE 101

    SPRING GROVE, IL 60081

    Phone: (815) 675-0675

    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: 2004-10-08

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
O20041008001269OClinic/Group PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60081)

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Reviews

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Frequently asked questions

Does SPRING GROVE MEDICAL OFFICES LTD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SPRING GROVE MEDICAL OFFICES LTD uses 1740332592.
Does CMS list SPRING GROVE MEDICAL OFFICES LTD as active?
Yes — SPRING GROVE MEDICAL OFFICES LTD is active in the NPI listing used on this page.
What taxonomy line describes SPRING GROVE MEDICAL OFFICES LTD?
For research purposes, treat SPRING GROVE MEDICAL OFFICES LTD as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where is SPRING GROVE MEDICAL OFFICES LTD based?
SPRING GROVE MEDICAL OFFICES LTD is tied to Spring Grove, Illinois in the data we show; additional addresses may exist on the full record.
Why does SPRING GROVE MEDICAL OFFICES LTD have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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