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DR. NATHAN EVAN WIEDRICH DC
NPI 1467572628
Chiropractor - Rehabilitation in Lindenhurst, IL

Active since March 30, 2007Accepts Medicare Assignment
2031 E GRAND AVE STE 301, LINDENHURST, IL 60046(843) 906-0090(843) 906-0090 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nathan Evan Wiedrich Dc NPPES

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

DR. NATHAN EVAN WIEDRICH DC (NPI 1467572628) is an individual rehabilitation provider in Lindenhurst, Illinois, licensed in Illinois (038.010896) and active in the NPI registry since March 2007. He maintains a secondary practice location in Charleston and is a graduate of Palmer College Chiropractic - West Sunnyvale (2006).

NPPES Registry Identity

NPI1467572628
Entity TypeIndividualMale
Primary Taxonomy111NR0400X
Provider Legal NameDR. NATHAN EVAN WIEDRICHCredential: DC
Location Address2031 E GRAND AVE STE 301Lindenhurst, IL 60046-9094
Mailing Address2031 E Grand Ave Ste 301Lindenhurst, IL 60046-9094 · (843) 906-0090
Phone(843) 906-0090
Fax(843) 906-0090
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2006
Enumeration DateMarch 30, 2007
Last NPPES UpdateMarch 17, 2018
✔ NPI 1467572628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in IL · 038.010896
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Also ListedChiropractorTaxonomy 111N00000X · License 3342 (SC), 3801096 (IL)
2031 E GRAND AVE STE 301, Lindenhurst, IL 60046
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Secondary Practice Location 1

Location 11175 Folly Road, Suite 9Charleston, SC 29412-4130 · Phone (843) 906-7232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nathan Evan Wiedrich Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173681335
PECOS Enrollment IDI20180615001414

Medicare Billing Reassignment

Medicare enrollment records show Nathan Wiedrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jldc Inc.
Same address
Rehabilitation
2031 E GRAND AVE STE 301
Lindenhurst, IL 60046
  • Reassigned Medicare billing, Illinois enrollment
NPI 1629576954 (843) 906-0090

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
135 services17 patients

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.

DR. CORI MICHELLE WIEDRICH DC
Chiropractor
2031 E GRAND AVE STE 301
LINDENHURST, IL 60046
Lake County (224) 643-7281
JLDC INC.
Chiropractor (Rehabilitation)
2031 E GRAND AVE STE 301
LINDENHURST, IL 60046
Lake County (843) 906-0090

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 Nathan Wiedrich's NPI number?

The NPI number for Nathan Wiedrich is 1467572628. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Nathan Wiedrich located?

Nathan Wiedrich practices at 2031 E Grand Ave Ste 301, Lindenhurst, IL 60046. The listed phone number is (843) 906-0090.

What is Nathan Wiedrich's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Nathan Wiedrich enrolled in Medicare?

Yes. Nathan Wiedrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nathan Wiedrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Wiedrich reassigns Medicare benefits to Jldc Inc. (Lindenhurst, IL). The 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 Nathan Wiedrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Wiedrich was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.