Individual provider Active NPI

Joshua Duplessis, DC, ATC

  • Sports Physician Chiropractor
  • Downers Grove, IL
National Provider Identifier
1669912226
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038013774 Issued in IL
Practice address
1426 Brook Dr Ste a
Downers Grove, IL 60515-1025
Phone
(847) 732-0387
NPI assigned
Mar 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Sports Physician Chiropractor 111NS0005X 038013774 IL Primary

Addresses

Primary practice location

1426 Brook Dr Ste a
Downers Grove, IL 60515-1025

Mailing address

14755 W Stonehaven LN
Homer Glen, IL 60491-3392
Phone (847) 732-0387

Other practice location 1

14755 W Stonehaven Ln
Homer Glen, IL 60491-3392
Phone (847) 732-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013774ILMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1669912226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14755 W STONEHAVEN LN",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604913392",
            "telephone_number": "847-732-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 BROOK DR STE A",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151025",
            "telephone_number": "847-732-0387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14755 W Stonehaven Ln",
            "address_purpose": "LOCATION",
            "city": "Homer Glen",
            "state": "IL",
            "postal_code": "604913392",
            "country_code": "US",
            "telephone_number": "847-732-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPLESSIS",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038013774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.