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Active NPI 1689684979 Individual Practitioner Male Practitioner

Dr. Glen John Nisivoccia , DC

Chiropractor • Mokena, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Glen Nisivoccia, DC is a certified Chiropractor practicing in Mokena, IL. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Nisivoccia delivers high-quality medical care to the local community at 19600 LA GRANGE RD.

Dr. Nisivoccia is affiliated with Frankfort Spinal Rehabilitation And Physical Therapy Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19600 La Grange Rd

Mokena, IL 604489321

Telephone 7084783000
Fax 7084783007
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Mokena, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +18.7 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Mokena, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nisivoccia (41 Years) 41 Yrs
Mokena Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
371 32 $31.43 $27.67
98941 Chiropractic manipulative treatment, 3-4 spinal regions
236 23 $45.00 $39.67

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038004843

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Hospital & Practice Group Affiliations

Frankfort Spinal Rehabilitation And Physical Therapy Inc

19600 S La Grange Rd, Mokena, IL 604489321

Phone: 7084783000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1003467804

Doctor of Chiropractic

NPI 1114015815

Doctor of Chiropractic

Paulette Jarke

Massage Therapist

NPI 1447650353
Krystal Wilson

Chiropractor - Orthopedic

NPI 1497155824
NPI 1649310384

PHYSICALTHERAPIST

Anne Kratochvil

Massage Therapist

NPI 1952710592

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2008

Registered at 19600 LA GRANGE RD, MOKENA, IL 604489321 (Tel: 7084783000)

📍
Updated Business Mailing Address June 17, 2008

Registered at 13129 HIDDEN VALLEY DR, HOMER GLEN, IL 604918486 (Tel: 7083018723)

👤
Provider Name / Credentials Updated June 17, 2008

Recorded as GLEN NISIVOCCIA, D C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Chiropractor (License #038004843 in IL)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689684979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: June 17, 2008
Sole Proprietor: No

Mailing Address

13129 Hidden Valley Dr

Homer Glen, IL 604918486

Phone: 7083018723

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.