Individual provider · Type 1 NPI
Kevin Daniel Derouen, DC
Chiropractor · Bradley, IL
NPI number
1093674228
Active
Practice location
404 S Kennedy Dr
Bradley, IL 60915-2137
Mailing address
204 S Oppyville Rd
Watseka, IL 60970-7911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.014421 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
Other chiropractor providers in Bradley
About NPI 1093674228
Kevin Daniel Derouen, DC's National Provider Identifier is 1093674228, issued on Jan 22, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bradley, IL. The record was last updated on Jan 22, 2026.