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

Dr. Kevin Daniel Derouen, DC

Individual provider Chiropractor · NPI 1093674228

Dr. Kevin Daniel Derouen, DC is a Chiropractic in Bradley, Illinois. Graduated from Logan College of Chiropractic in 2025, 1 year ago. Practices with Van Til Chiropractic PC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Trained at
Logan College of Chiropractic
Licensed in
IL
In the registry since
2026
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

404 S Kennedy Dr
Bradley, IL 60915-2137
Phone: (815) 929-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038.014421 (IL)

Record details

NPI number1093674228
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address204 S Oppyville Rd, Watseka, IL 60970-7911

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2025 (1 years in practice)
Group practice Van Til Chiropractic Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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