Brian Dale Vanderbilt, D.C.

Individual provider Active NPI Chiropractor · Hawthorn Woods, IL

NPI 1477547388 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1477547388
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
Practice address
40 Landover Pkwy
Hawthorn Woods, IL 60047-7508
Phone
(847) 719-2225
Fax
(847) 719-2527
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 S Wynstone Park Dr
Suite 105a
North Barrington, IL 60010-6961
Phone (847) 719-2225

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041015000017 IL Practitioner - Chiropractic 4082674957 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Yes

Addresses

Primary practice location

40 Landover Pkwy
Hawthorn Woods, IL 60047-7508

Mailing address

84 Summerhill Dr
Mundelein, IL 60060-4556
Phone (847) 719-2225

Other identifiers

IdentifierTypeStateIssuer
04932406OtherILBCBSIL PIN #

Other providers in Hawthorn Woods, IL

All providers in Hawthorn Woods, IL · Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.