Van Til Chiropractic, PC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.010127 Issued in IL

Legal business name

VAN TIL CHIROPRACTIC, PC.

Doing business as

Van Til Chiropractic

Practice address

404 S Kennedy Dr
Bradley, IL 60915-2137

Phone

(815) 929-9296

Fax

(815) 929-9667

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Calvin Van Til, D.C.NPI 1730184862

Title

President

Phone

(815) 929-9296

Specialties & licenses 1

Addresses

Other names 1

• Van Til Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Van Til, D.C.

  • Chiropractor
  • Bradley, IL
  • NPI 1730184862
  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Daniel Derouen, DC

  • Chiropractor
  • Bradley, IL
  • NPI 1093674228
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1801994470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152137",
            "telephone_number": "815-929-9296",
            "fax_number": "815-929-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S KENNEDY DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152137",
            "telephone_number": "815-929-9296",
            "fax_number": "815-929-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN TIL CHIROPRACTIC, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "VAN TIL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-929-9296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Til Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zain S Talukdar, MD
• Debra Marie Tamez, LCSW
• The Thresholds
• Tinted by Ari
• Shannon L Trunk - Brokop, PA-C
• Richard Van Til, D.C.
• Village of Bradley (Bradley Fire Department)
• Visionworks Inc (Visionworks)
• Kendra Vogel, OT
• Nicole M Voigts

• Chiropractor in Bradley, IL
• Providers in Bradley, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.