Garth L Edwards (NPI# 1013922673, PAC ID# 1254418296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1013922673 |
PAC ID by PECOS | 1254418296 |
Professional Enrollment ID | I20080401000866 |
Full Name | Garth L Edwards |
Address |
22111 Governors Hwy Richton Park IL 60471-1249 |
Gender | M |
Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
Graduation Year | 1983 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140191 | INGALLS MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
22111 Governors Hwy, Richton Park, IL 60471-1249 |
Street Address |
22111 GOVERNORS HWY |
City | RICHTON PARK |
State | IL |
Zip | 60471-1249 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dorothy R Anoina | Obstetrics/gynecology | 4511 Sauk Trl, Richton Park, IL 60471-1167 | |
Albert L Reynolds | Internal Medicine | 4511 Sauk Trl, Richton Park, IL 60471-1167 | |
Deborah J Chiles | Psychologist, Clinical | 4137 Sauk Trl, Suite 127, Richton Park, IL 60471-1253 | |
Lasheah M Stewart | Nurse Practitioner | Inpatient Consultants of Illinois PC | 22660 Cicero Ave, Richton Park, IL 60471-1700 |
City | RICHTON PARK |
Zip Code | 60471 |
Specialty | CHIROPRACTIC |
City + Specialty | RICHTON PARK + CHIROPRACTIC |
Please comment or provide details below to improve the information on Garth L Edwards.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.