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EDGEWATER REHABILITATION CENTER
NPI 1164476859
Chiropractor in Chicago, IL

Active since May 19, 2006
1040 W GRANVILLE AVE, CHICAGO, IL 60660(815) 356-7142 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edgewater Rehabilitation Center NPPES

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

EDGEWATER REHABILITATION CENTER (NPI 1164476859) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since May 2006. The organization lists Andrew Carr, President, as its authorized official.

NPPES Registry Identity

NPI1164476859
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEDGEWATER REHABILITATION CENTER
Location Address1040 W GRANVILLE AVEChicago, IL 60660-5200
Mailing Address352 W Woodstock StCrystal Lake, IL 60014-4232
Phone(815) 356-7142
Organization SubpartNo
Authorized OfficialAndrew CarrPresident · (815) 356-7142
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164476859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1040 W GRANVILLE AVE, Chicago, IL 60660
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JAIMIE J CHAN
Student in an Organized Health Care Education/Training Program
1040 W GRANVILLE AVE, APT 503
CHICAGO, IL 60660
Cook County (989) 309-0691
DENISE ASCOLESI MA, LCPC
Counselor (Professional)
1040 W GRANVILLE AVE
CHICAGO, IL 60660
Cook County (773) 931-7109

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 Edgewater Rehabilitation Center's NPI number?

The NPI number for Edgewater Rehabilitation Center is 1164476859. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Edgewater Rehabilitation Center located?

Edgewater Rehabilitation Center is located at 1040 W Granville Ave, Chicago, IL 60660. The listed phone number is (815) 356-7142.

What is Edgewater Rehabilitation Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Edgewater Rehabilitation Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.