Derrick Wallery, D.C

NPI 1437311701 · on the registry since 2008

Practice

Address: 4176 W Montrose Ave
Chicago, IL 60641
Phone: (773) 283-3131
Fax: (773) 283-3610
Organisation at this address: Vital Labs Inc
Neck And Back Clinic, Ltd.
Chicago Pcr Lab Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 111N00000X
111N00000X
Also registered as: 111N00000X
Licence states on file: MI, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois