Individual
DR. GARTH L. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DC
Contact information
Practice address
22111 GOVERNORS HWY, RICHTON PARK, IL 60471-1249
(708) 748-5600
(708) 748-5635
Mailing address
22111 GOVERNORS HWY, RICHTON PARK, IL 60471-1249
(708) 748-5600
(708) 748-5635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013922673
NPI
IL
01
—
723620
PTAN
IL
Enumeration date
07/30/2006
Last updated
09/22/2015
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