Central Dupage Chiropractic and Rehabilitation Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010253 Issued in IL

Legal business name

CENTRAL DUPAGE CHIROPRACTIC AND REHABILITATION INC

Practice address

400 W Liberty Dr Ste B
Wheaton, IL 60187-4993

Phone

(630) 665-7266

Fax

(630) 665-7278

NPI assigned

Jul 2, 2007

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlo Roderick Leon, D.C.NPI 1386736510

Title

Owner

Phone

(630) 665-7266

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Carlo Roderick Leon, D.C.

  • Chiropractor
  • Wheaton, IL
  • NPI 1386736510
  Medicare reassignment NPD Authorized official
• Shannen L Boyd, D.C.

  • Chiropractor
  • Lombard, IL
  • NPI 1477924512
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1851598973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LIBERTY DR STE B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874993",
            "telephone_number": "630-665-7266",
            "fax_number": "630-665-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LIBERTY DR STE B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874993",
            "telephone_number": "630-665-7266",
            "fax_number": "630-665-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE CHIROPRACTIC AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "CARLO",
        "authorized_official_middle_name": "RODERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-665-7266",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Yvette Catenacci, MS, LPC
• Kathleen Caudill
• Tawnya Cavalieri, LCPC
• Patricia Ceja-Muhsen
• Center for Assessment and Psychological Services
• Central Dupage Health
• Central Dupage Imaging Center LLC
• Central Dupage Orthodontics, LTD.
• Central Dupage Physician Group (Northwestern Medicine Regional Medical Group)
• Central Dupage Special Health Association (CNS Home Infusion & Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.