DR. DERRICK D WALLERY D.C.
NPI 1437311701
Chiropractor in Chicago, IL

Active since June 27, 2008
4176 W MONTROSE AVE, CHICAGO, IL 60641(773) 283-3131(773) 283-3610 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derrick D Wallery D.c. NPPES

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

DR. DERRICK D WALLERY D.C. (NPI 1437311701) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038008088) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1437311701
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DERRICK D WALLERYCredential: D.C.
Location Address4176 W MONTROSE AVEChicago, IL 60641-2161
Mailing AddressPo Box 937Dixon, IL 61021-0937 · (738) 440-1237
Fax(773) 283-3610
Sole ProprietorNo
Enumeration DateJune 27, 2008
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
NPI 1437311701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in IL · 038008088 Licensed in MI · 2301401202
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.
4176 W MONTROSE AVE, Chicago, IL 60641

Other Providers at the Same Location NPPES 3

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

Clinical Medical Laboratory
4176 W MONTROSE AVE
CHICAGO, IL 60641
Chiropractor
4176 W MONTROSE AVE
CHICAGO, IL 60641
Chiropractor
4176 W MONTROSE AVE
CHICAGO, IL 60641

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 Derrick Wallery's NPI number?

The NPI number for Derrick Wallery is 1437311701. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Derrick Wallery located?

Derrick Wallery practices at 4176 W Montrose Ave, Chicago, IL 60641. The listed phone number is (773) 283-3131.

What is Derrick Wallery'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 Derrick Wallery was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.