Dean A Hulsing, D.C.
Individual provider Active NPI Chiropractor · Walnut, IL
NPI 1730108002 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1730108002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 405 W North Street
Walnut, IL 61376 - Phone
- (815) 379-2088
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
405 W N St
Walnut, IL 61376-1002
Phone (815) 379-2088
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060320000039 | IL | Practitioner - Chiropractic | 3173538055 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06586 | IA | MD | Chiropractor |
| 038-010481 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Chiropractic Wellness Center | Chiropractor | Past | Accepting new patients |
| Cadogan Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06586 | IA | |
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
405 W North Street
Walnut, IL 61376
Mailing address
PO Box 268
Walnut, IL 61376-0268
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1287870 | Medicaid | IA | |
| 00632016 | Other | IL | BCBS IL |
Other providers in Walnut, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.