FREDERICKS CHIROPRACTIC CENTER, LTD.
NPI 1063673572
Chiropractor in Carol Stream, IL

Q: What is Fredericks Chiropractic Center, Ltd.'s NPI number?

The NPI number for Fredericks Chiropractic Center, Ltd. is 1063673572. It was assigned to this organization in the NPPES registry on June 18, 2008.

Q: What is Fredericks Chiropractic Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since June 18, 2008

166 N GARY AVE, CAROL STREAM, IL 60188(630) 665-5656 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Fredericks Chiropractic Center, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICKS CHIROPRACTIC CENTER, LTD. (NPI 1063673572) is a healthcare organization registered as a chiropractor in Carol Stream, Illinois and active in the NPI registry since June 2008. The organization lists Kevin A Fredericks, President, as its authorized official.

NPPES Registry Identity

NPI1063673572

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameFREDERICKS CHIROPRACTIC CENTER, LTD.

Location Address166 N GARY AVECarol Stream, IL 60188-2093

Mailing Address166 N Gary AveCarol Stream, IL 60188-2093 · (630) 665-5656

Phone(630) 665-5656

Organization SubpartNo

Authorized OfficialKevin A FredericksPresident · (630) 665-5656

Enumeration DateJune 18, 2008

✔ NPI 1063673572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038005902

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

166 N GARY AVE, Carol Stream, IL 60188

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Other Identifiers 3

Other764930IL · Medicare

OtherT38747IL · Upin

Other2215441IL · Blue Cross Blue Shield Of Illinois

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredericks Chiropractic Center, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fredericks Chiropractic Center, Ltd., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Fredericks, D.C.

Chiropractic

NPI 1104906213

166 N GARY AVE
Carol Stream, IL 60188

(630) 665-5656

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredericks Chiropractic Center, Ltd.'s NPI number?

The NPI number for Fredericks Chiropractic Center, Ltd. is 1063673572. It was assigned to this organization in the NPPES registry on June 18, 2008.

Where is Fredericks Chiropractic Center, Ltd. located?

Fredericks Chiropractic Center, Ltd. is located at 166 N Gary Ave, Carol Stream, IL 60188. The listed phone number is (630) 665-5656.

What is Fredericks Chiropractic Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Fredericks Chiropractic Center, Ltd. enrolled in Medicare?

Yes. Fredericks Chiropractic Center, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fredericks Chiropractic Center, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fredericks Chiropractic Center, Ltd.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fredericks Chiropractic Center, Ltd. was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.