| Fredericks Chiropractic Center, Ltd. | |
|
166 N Gary Ave, Carol Stream, IL 60188-2093 | |
| (630) 665-5656 | |
| Not Available |
| Full Name | Fredericks Chiropractic Center, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 166 N Gary Ave, Carol Stream, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063673572 | NPI | - | NPPES |
| 764930 | Other | IL | MEDICARE |
| T38747 | Other | IL | UPIN |
| 2215441 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038005902 (Illinois) | Primary |
| Provider Name | Kevin A Fredericks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104906213 PECOS PAC ID: 8426100579 Enrollment ID: I20090721000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericks Chiropractic Center, Ltd. 166 N Gary Ave, Carol Stream, IL 60188-2093 Ph: (630) 665-5656 | Fredericks Chiropractic Center, Ltd. 166 N Gary Ave, Carol Stream, IL 60188-2093 Ph: (630) 665-5656 |
Dr. Douglas Tansor Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 224 W Army Trail Rd, Carol Stream, IL 60188 Phone: 630-940-8830 | |
Dr. Alexander E Earl, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 640 E Saint Charles Rd Ste 17, Carol Stream, IL 60188 Phone: 630-765-0575 | |
Dr. Eric N Potocki, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 25w330 Geneva Rd, Carol Stream, IL 60188 Phone: 630-310-0680 | |
William Wright Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1430 W Army Trail Rd, Carol Stream, IL 60188 Phone: 630-736-7065 Fax: 630-736-7068 | |
Darshan Gandhi, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 535 Chippewa Trl, Carol Stream, IL 60188 Phone: 630-589-7633 | |
Dr. Kevin A Fredericks, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 166 N Gary Ave, Carol Stream, IL 60188 Phone: 630-665-5656 |