| Edwards Chiropractic Clinic P.c | |
|
22111 Governors Hwy, Richton Park, IL 60471-1249 | |
| (708) 747-5600 | |
| (708) 748-5635 |
| Full Name | Edwards Chiropractic Clinic P.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Nutrition |
| Location | 22111 Governors Hwy, Richton Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164649976 | NPI | - | NPPES |
| 1013922673 | Other | IL | NPI INDIVIDUAL |
| 1645747 | Other | IL | BCBS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN1001X | Chiropractor - Nutrition | (Illinois) | Primary |
| Provider Name | Garth L Edwards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013922673 PECOS PAC ID: 1254418296 Enrollment ID: I20080401000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Chiropractic Clinic P.c 1824 Heather Hill Cres, Flossmoor, IL 60422-2000 Ph: () - | Edwards Chiropractic Clinic P.c 22111 Governors Hwy, Richton Park, IL 60471-1249 Ph: (708) 747-5600 |
Dr. Garth L. Edwards, MD, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 22111 Governors Hwy, Richton Park, IL 60471 Phone: 708-748-5600 Fax: 708-748-5635 | |
Edwards Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22111 Governors Hwy, Richton Park, IL 60471 Phone: 708-748-5600 Fax: 708-748-5635 |