Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan William Bullock, DC

Individual provider Chiropractor · NPI 1114015815

Dr. Jonathan William Bullock, DC is a Chiropractic in Mokena, Illinois. Graduated from Palmer College Chiropractic - Davenport in 2002, 24 years ago. Practices with Frankfort Spinal Rehabilitation and Physical Therapy Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Trained at
Palmer College Chiropractic - Davenport
Licensed in
IL
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

19600 La Grange Rd
Mokena, IL 60448-9321
Phone: (708) 478-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038-009659 (IL)

Record details

NPI number1114015815
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address19600 La Grange Rd, Mokena, IL 60448-9321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2002 (24 years in practice)
Group practice Frankfort Spinal Rehabilitation And Physical Therapy Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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