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DR. RICHARD VAN TIL D.C.
NPI 1730184862
Chiropractor in Bradley, IL

Active since June 16, 2005Accepts Medicare Assignment
404 S KENNEDY DR, BRADLEY, IL 60915(815) 929-9296(815) 929-9667 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2025, May 7, 2024 (2 updates tracked since 2024).

About Dr. Richard Van Til D.c. NPPES

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

DR. RICHARD VAN TIL D.C. (NPI 1730184862) is an individual chiropractor in Bradley, Illinois, licensed in Illinois (038-010127) and active in the NPI registry since June 2005. He is a graduate of Logan College Of Chiropractic (2003).

NPPES Registry Identity

NPI1730184862
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RICHARD VAN TILCredential: D.C.
Location Address404 S KENNEDY DRBradley, IL 60915-2137
Mailing Address404 S Kennedy DrBradley, IL 60915-2137 · (815) 929-9296 · Fax (815) 929-9667
Phone(815) 929-9296
Fax(815) 929-9667
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2003
Enumeration DateJune 16, 2005
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1730184862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-010127
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.
404 S KENNEDY DR, Bradley, IL 60915
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Other Identifiers 1

Other4632052IL · Blue Cross Blue Shield

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. Richard Van Til D.c. 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 ID2163402652
PECOS Enrollment IDI20040723001264

Medicare Billing Reassignment

Medicare enrollment records show Richard Van Til reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Van Til Chiropractic, PC.
Same address
Chiropractor
404 S KENNEDY DR
Bradley, IL 60915
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1801994470 (815) 929-9296

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, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
530 services56 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. KEVIN DANIEL DEROUEN DC
Chiropractor
404 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 929-9296
VAN TIL CHIROPRACTIC, PC.
Chiropractor
404 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 929-9296

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 Richard Van Til's NPI number?

The NPI number for Richard Van Til is 1730184862. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Richard Van Til located?

Richard Van Til practices at 404 S Kennedy Dr, Bradley, IL 60915. The listed phone number is (815) 929-9296.

What is Richard Van Til's specialty?

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

Is Richard Van Til enrolled in Medicare?

Yes. Richard Van Til 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 Richard Van Til's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Van Til reassigns Medicare benefits to Van Til Chiropractic, PC. (Bradley, 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 Richard Van Til'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 Richard Van Til was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.