EDWARDS CHIROPRACTIC CLINIC P.C
NPI 1164649976
Chiropractor - Nutrition in Richton Park, IL

Active since April 20, 2007
22111 GOVERNORS HWY, RICHTON PARK, IL 60471(708) 747-5600(708) 748-5635 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edwards Chiropractic Clinic P.c NPPES

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

EDWARDS CHIROPRACTIC CLINIC P.C (NPI 1164649976) is a healthcare organization registered as a nutrition in Richton Park, Illinois and active in the NPI registry since April 2007. The organization lists Garth L Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1164649976
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NameEDWARDS CHIROPRACTIC CLINIC P.C
Location Address22111 GOVERNORS HWYRichton Park, IL 60471-1249
Mailing Address1824 Heather Hill CresFlossmoor, IL 60422-2000
Fax(708) 748-5635
Organization SubpartNo
Authorized OfficialGarth L EdwardsOwner · (708) 748-5600
Enumeration DateApril 20, 2007
Last NPPES UpdateMarch 26, 2008
✔ NPI 1164649976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
22111 GOVERNORS HWY, Richton Park, IL 60471

Other Identifiers 4

Medicare UPINT38168IL
Other1013922673IL · Npi Individual
Other1645747IL · Bcbs Provider
Medicare PIN723620IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Edwards Chiropractic Clinic P.c 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 Edwards Chiropractic Clinic P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1013922673
22111 GOVERNORS HWY
Richton Park, IL 60471
(708) 748-5600
Same 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 Edwards Chiropractic Clinic P.C's NPI number?

The NPI number for Edwards Chiropractic Clinic P.C is 1164649976. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Edwards Chiropractic Clinic P.C located?

Edwards Chiropractic Clinic P.C is located at 22111 Governors Hwy, Richton Park, IL 60471. The listed phone number is (708) 747-5600.

What is Edwards Chiropractic Clinic P.C's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Edwards Chiropractic Clinic P.C enrolled in Medicare?

Yes. Edwards Chiropractic Clinic P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edwards Chiropractic Clinic P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Edwards Chiropractic Clinic P.C. 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 Edwards Chiropractic Clinic P.C was last updated on March 26, 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.