Verified record
Source: Illinois IDFPR license registry + NPPES. High trust.
Profession
Chiropractic Physician · DC
IL license
038009768 — ACTIVE
Disciplinary record
On record — see detail below
NPI
1710018395 · matched by name
Pediatric
provider has not provided attestation
IDFPR disciplinary record · 4 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.
FineMar 9, 2026· IDFPR case 2024005868
chiropractor license placed on indefinite probation for a minimum of two years with multiple conditions and practice restrictions, must complete 20 CMEs annually, take and pass all five topics of EBAS Essay Examination and fined $5,000 due to practicing while his license was not renewed and engaging in multiple advertising violations.
ProbationMar 9, 2026· IDFPR case 2024005868
chiropractor license placed on indefinite probation for a minimum of two years with multiple conditions and practice restrictions, must complete 20 CMEs annually, take and pass all five topics of EBAS Essay Examination and fined $5,000 due to practicing while his license was not renewed and engaging in multiple advertising violations.
ReprimandAug 23, 2021· IDFPR case 2020005213
chiropractor license reprimanded and must submit proof of completion of ten category 1 continuing medical education credits due to respondent's 2019 Medicare revocation.
SuspensionJul 29, 2016· IDFPR case 2016003855
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/03/2016.
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.
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