# CHIROPRACTIC MEDICINE & ASSOCIATES OF DUPAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508071135
- **Authorized official:** DR. FRANKLIN W. FORMAN DC (PRESIDENT)
- **Authorized official phone:** (630) 510-7774

## Contact information

- **Practice address:** 1600 N MAIN ST, WHEATON, IL 60187-3145
- **Practice address phone:** (630) 510-7774
- **Mailing address:** 1984 SPRING GREEN DR, WHEATON, IL 60187-7254
- **Mailing address phone:** (630) 510-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0100X | Occupational Health Chiropractor | 038003478 | IL | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 03/08/2012
