Demoulin Family Chiropractic, LTD.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

038012948 Issued in IL

Legal business name

DEMOULIN FAMILY CHIROPRACTIC, LTD.

Practice address

11Danada Square East
Wheaton, IL 60189-8484

Phone

(630) 269-9435

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Demoulin, D.C.

Title

President/Owner

Phone

(630) 269-9435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1992154991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DANADA SQ E",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11DANADA SQUARE EAST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898484",
            "telephone_number": "630-269-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMOULIN FAMILY CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "DEMOULIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-269-9435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038012948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel D Delisi, M.D.
• Jerniah Delt
• Maria V Dementieva
• Douglas Demerchant, PSY.D.
• Rebecca Demoss, CCC-SLP
• Margaret Joyce Dempster, DC
• Micayla Denk
• Martha L Dennen, LCPC
• Laurie Denning, RBT
• Peyton Denning

• Preferred Provider Organization in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.