Provider Demographics
NPI:1588040521
Name:CULP, JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:CULP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S NAPERVILLE RD STE D
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5473
Mailing Address - Country:US
Mailing Address - Phone:630-510-7999
Mailing Address - Fax:630-344-1304
Practice Address - Street 1:311 S NAPERVILLE RD STE D
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5473
Practice Address - Country:US
Practice Address - Phone:630-510-7999
Practice Address - Fax:630-344-1304
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor