Verified record
Source: Illinois IDFPR license registry + NPPES. High trust.
Profession
Chiropractic Physician · DC
IL license
038007176 — ACTIVE
Disciplinary record
On record — see detail below
NPI
1669616355 · matched by license
Pediatric
provider has not provided attestation
IDFPR disciplinary record · 5 actions on record
The Illinois Dept. of Financial & Professional Regulation (IDFPR) maintains a public record of disciplinary actions on professional licenses. The detail below is reproduced verbatim from the IDFPR licensing dataset — it is not a characterization by PedsList.
SuspensionMar 22, 2026· IDFPR case 2003001885
chiropractor physician license is indefinitely suspended for a minimum of one year due to failure to comply with the Department's February 2008 Consent Order.
ProbationApr 28, 2008· IDFPR case 2003001885
Restored upon fulfillment of the conditions and will be placed on indefinite probation for a minimum of five years and fined $3,000.
FineFeb 6, 2008· IDFPR case 2003001885
Restored upon fulfillment of the conditions and will be placed on indefinite probation for a minimum of five years and fined $3,000.
RevocationMar 23, 2004· IDFPR case 2003001885
No reason text published for this action.
Summary SuspensionJul 11, 2003· IDFPR case 2003001885
No reason text published for this action.
Source: IDFPR license lookup · dataset data.illinois.gov / pzzh-kp68. Some actions are administrative (e.g. continuing-education or renewal lapses) and don't indicate patient harm; where wording reads "allegedly," it reflects allegations as recorded by IDFPR, not by itself a current finding of wrongdoing.
About this provider
Built from verified public records — the credentials above are real. The details below come from the provider, and this page is waiting to be claimed. Editing every detail is free.
Specializations & areas of expertise
Free to add
Professional bio
Free to add
Hours & availability
Free to add
Contact & booking
Free to add
Accepted insurance
Free to add
Ages served & telehealth
Free to add Direct inquiry button · Pro Parent reviews · Pro Sponsored placement · Pro