OrganizationActive
Marque Medicos Kedzie, LLC
NPI 1194985747 · Chiropractor · Chicago, IL
Marque Medicos Kedzie, LLC is a Chiropractor organization in Chicago, IL (NPI 1194985747).
Provider details
- NPI number
- 1194985747
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Derrick Wallery, Manager(773) 283-3131
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5825 S Kedzie Ave
Chicago, IL 60629-3212
Phone: (773) 283-3131
Fax: (773) 283-3610
Street-level locationGet directions
Mailing address
4176 W Montrose Ave
Chicago, IL 60641-2161
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-06-16
Frequently asked questions
- What is Marque Medicos Kedzie, LLC's NPI number?
- Marque Medicos Kedzie, LLC's National Provider Identifier (NPI) is 1194985747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marque Medicos Kedzie, LLC?
- Marque Medicos Kedzie, LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Marque Medicos Kedzie, LLC located?
- Marque Medicos Kedzie, LLC's practice location on file with NPPES is 5825 S Kedzie Ave, Chicago, IL 60629-3212.
- What is Marque Medicos Kedzie, LLC's phone number?
- The practice phone number listed in the NPPES registry for Marque Medicos Kedzie, LLC is (773) 283-3131.
- Who is the authorized official for Marque Medicos Kedzie, LLC?
- The authorized official listed on Marque Medicos Kedzie, LLC's NPPES record is Derrick Wallery, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marque Medicos Kedzie, LLC's NPI active?
- Yes — Marque Medicos Kedzie, LLC's NPI (1194985747) is active in the NPPES registry as of the last update on 2008-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.