Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin A Fredericks, DC

Individual provider Chiropractor · NPI 1104906213

Dr. Kevin A Fredericks, DC is a Chiropractic in Carol Stream, Illinois. Graduated from National College of Chiropractic in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
40
Trained at
National College of Chiropractic
Licensed in
IL
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

166 N Gary Ave
Carol Stream, IL 60188-2093
Phone: (630) 665-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X (IL)

Record details

NPI number1104906213
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address166 N Gary Ave, Carol Stream, IL 60188-2093

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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