Organization
EDWARDS CHIROPRACTIC CLINIC
Active
Other names
HealthSource of Richton Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARTH L. EDWARDS M.D., D.C. (PRESIDENT)
(708) 748-5600
Entity
Organization
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
—
F100233998
MEDICARE ID
IL
Enumeration date
10/14/2015
Last updated
10/14/2015
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