Individual
DR. KEVIN DANIEL DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
404 S KENNEDY DR, BRADLEY, IL 60915-2137
(815) 929-9296
Mailing address
204 S OPPYVILLE RD, WATSEKA, IL 60970-7911
(757) 254-2999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.014421
IL
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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