Fredericks Chiropractic Center, Ltd.
Fredericks Chiropractic Center, Ltd. is a healthcare organization registered as Chiropractor in Carol Stream, IL, holding Type 2 (organization) NPI 1063673572 since 2008. The authorized official on file is Kevin Fredericks, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063673572 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fredericks Chiropractic Center, Ltd. |
| Practice address | 166 N GARY AVE, Carol Stream, IL, 60188 |
| Phone | 6306655656 |
| Enumeration date | 2008-06-18 |
| Last updated in NPPES | 2008-06-18 |
Authorized official
| Name | Kevin Fredericks |
|---|---|
| Title | President |
| Phone | 6306655656 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | 038005902 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764930 | Other | IL | MEDICARE |
| T38747 | Other | IL | UPIN |
| 2215441 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
Copy-ready billing details
Provider: Fredericks Chiropractic Center, Ltd. NPI: 1063673572 Taxonomy: 111N00000X (Chiropractor) Address: 166 N GARY AVE, Carol Stream, IL, 60188
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104906213 | Kevin Fredericks | Individual | Chiropractor | Carol Stream, IL |
| 1407914534 | George Radice | Individual | Chiropractor | Carol Stream, IL |
Verify this record
Cross-check NPI 1063673572 against the authoritative CMS record: view Fredericks Chiropractic Center, Ltd. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Fredericks Chiropractic Center, Ltd. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-18.