1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Chiropractor
  6. NPI Profile

MARQUE MEDICOS KEDZIE, LLC
NPI 1194985747
Chiropractor in Chicago, IL

Active since June 16, 2008
5825 S KEDZIE AVE, CHICAGO, IL 60629(773) 283-3131(773) 283-3610 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marque Medicos Kedzie, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARQUE MEDICOS KEDZIE, LLC (NPI 1194985747) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since June 2008. The organization lists Derrick D. Wallery, Manager, as its authorized official.

NPPES Registry Identity

NPI1194985747
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMARQUE MEDICOS KEDZIE, LLC
Location Address5825 S KEDZIE AVEChicago, IL 60629-3212
Mailing Address4176 W Montrose AveChicago, IL 60641-2161 · (773) 283-3131 · Fax (773) 283-3610
Phone(773) 283-3131
Fax(773) 283-3610
Organization SubpartNo
Authorized OfficialDerrick D. WalleryManager · (773) 283-3131
Enumeration DateJune 16, 2008
✔ NPI 1194985747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
5825 S KEDZIE AVE, Chicago, IL 60629
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METROSMILES - GAGE PARK DENTAL PC
Dentist (General Practice)
5825 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 925-5020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marque Medicos Kedzie, LLC's NPI number?

The NPI number for Marque Medicos Kedzie, LLC is 1194985747. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Marque Medicos Kedzie, LLC located?

Marque Medicos Kedzie, LLC is located at 5825 S Kedzie Ave, Chicago, IL 60629. The listed phone number is (773) 283-3131.

What is Marque Medicos Kedzie, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Marque Medicos Kedzie, LLC was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.