Verified record
Source: Illinois IDFPR license registry + NPPES. High trust.
Profession
Chiropractic Physician · DC
IL license
038010799 — ACTIVE
Disciplinary record
On record — see detail below
NPI
1295743573 · matched by name
Pediatric
provider has not provided attestation
IDFPR disciplinary record · 3 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.
ProbationOct 9, 2025· IDFPR case 2024006146
chiropractic physician license suspended for 90 days, followed by being placed on indefinite probation with multiple conditions for a minimum of three years and fined $15,000 for a boundary violation with a patient during an office appointment in 2021, practicing on a non-renewed license in 2023-2024, and failing to disclose a misdemeanor on his 2006 license application.
SuspensionJul 10, 2025· IDFPR case 2024006146
chiropractic physician license suspended for 90 days, followed by being placed on indefinite probation with multiple conditions for a minimum of three years and fined $15,000 for a boundary violation with a patient during an office appointment in 2021, practicing on a non-renewed license in 2023-2024, and failing to disclose a misdemeanor on his 2006 license application.
FineJul 10, 2025· IDFPR case 2024006146
chiropractic physician license suspended for 90 days, followed by being placed on indefinite probation with multiple conditions for a minimum of three years and fined $15,000 for a boundary violation with a patient during an office appointment in 2021, practicing on a non-renewed license in 2023-2024, and failing to disclose a misdemeanor on his 2006 license application.
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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