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Dr. Derrick D Wallery , DC

Chiropractor β€’ Chicago, IL

Active NPI 1437311701 Individual Practitioner Male Practitioner
Practice location in NPPES

4176 W Montrose Ave
Chicago, IL 606412161

Call 7732833131 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4176 W Montrose Ave

Chicago, IL 606412161

Telephone 7732833131
Fax 7732833610
Organization at the Same NPPES Address or Phone
Vital Labs Inc Facility NPI 1487260923

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

624 active clinicians are listed under Chiropractor with a practice address in Chicago, IL (4,525 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0% of these 624 clinicians have the CMS telehealth indicator.

22.9% of these 624 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-13
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES IL 038008088

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MI 2301401202

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 13, 2024

Registered at PO BOX 937, DIXON, IL 610210937 (Tel: 7384401237)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2024

Chiropractor (license number reported to NPPES: MI 2301401202)

βœ…
NPI Profile Active June 27, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 27, 2008

Registered at 4176 W MONTROSE AVE, CHICAGO, IL 606412161 (Tel: 7732833131)

πŸ“
Business Mailing Address (Initial Record) June 27, 2008

Registered at 4176 W MONTROSE AVE, CHICAGO, IL 606412161 (Tel: 7732833131)

πŸ‘€
Provider Name / Credentials (Initial Record) June 27, 2008

Recorded as DERRICK WALLERY, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2008

Chiropractor (license number reported to NPPES: IL 038008088)

🟒
Initial NPI Registration & Enumeration June 27, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437311701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2008
Last Update: June 13, 2024
Sole Proprietor: No

Other Chiropractors in Chicago

All Chiropractors in Chicago

Mailing Address

Po Box 937

Dixon, IL 610210937

Phone: 7384401237

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.