Individual provider Active NPI

Tyler Derosia, DC, ATC

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1053850032
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013850 Issued in IL
Practice address
1325 Remington Rd Ste X
Schaumburg, IL 60173-4815
Phone
(630) 237-4500
NPI assigned
Feb 23, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013850 IL Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

1325 Remington Rd Ste X
Schaumburg, IL 60173-4815

Mailing address

1325 Remington Rd Ste X
Schaumburg, IL 60173-4815
Phone (630) 237-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831000705 IL Practitioner - Chiropractic 7719361393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013850ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quill Family Chiropractic Chiropractor CurrentSince Jul 19, 2022 Accepting new patients
Korwitts Chiropractic PC Chiropractor CurrentSince Mar 1, 2005 Accepting new patients
Derosia Chiropractic, LLC Chiropractor PastSince Oct 1, 2023 Accepting new patients

Locations

550 E Boughton Rd
Ste 150
Bolingbrook, IL 60440
Phone (630) 739-1791

550 E Boughton Rd
Ste 230
Bolingbrook, IL 60440
Phone (630) 739-1791

2736 Maple Ave
Downers Grove, IL 60515
Phone (630) 963-0080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1053850032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 REMINGTON RD STE X",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734815",
            "telephone_number": "630-237-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 REMINGTON RD STE X",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734815",
            "telephone_number": "630-237-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSIA",
        "first_name": "TYLER",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013850",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.