Individual provider Active NPI

Delton Bazan-Peche, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1972746675
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011288 Issued in IL
Practice address
4215 W 63Rd St
Chicago, IL 60629-5009
Phone
(773) 306-1928
Fax
(773) 498-6596
NPI assigned
Apr 9, 2009
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011288 IL Primary

Addresses

Primary practice location

4215 W 63Rd St
Chicago, IL 60629-5009

Mailing address

4215 W 63Rd St
Chicago, IL 60629-5009
Phone (773) 306-1928

Other identifiers 1

IdentifierTypeStateIssuer
038011288OtherILILLINOIS DIV OF PROFESSIONAL REGULATION

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
038011288ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bazan's Health Center Inc Chiropractor CurrentSince Nov 18, 2025 Accepting new patients

Locations

4215 W 63rd St
Chicago, IL 60629
Phone (773) 306-1928

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1972746675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295009",
            "telephone_number": "773-306-1928",
            "fax_number": "773-498-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295009",
            "telephone_number": "773-306-1928",
            "fax_number": "773-498-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAN-PECHE",
        "first_name": "DELTON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DIV OF PROFESSIONAL REGULATION",
            "identifier": "038011288",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.