Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MARQUE MEDICOS 26TH STREET, LLC.
Active
Organization
MARQUE MEDICOS 26TH STREET, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK D. WALLERY D.C. (MANAGER)
(773) 283-3131
Entity
Organization
Contact information
Practice address
3501 W 26TH ST, CHICAGO, IL 60623-3910
(773) 283-3131
(773) 283-3610
Mailing address
4176 W MONTROSE AVE, CHICAGO, IL 60641-2161
(773) 283-3131
(773) 283-3610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008088
IL
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers