Active NPI
Richard Van Til, D.C.
- Chiropractor
- Bradley, IL
National Provider Identifier
1730184862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010127
- Practice address
- 404 S Kennedy Dr
Bradley, IL 60915-2137 - Phone
- (815) 929-9296
- Fax
- (815) 929-9667
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010127 | IL | Primary |
Addresses
Primary practice location
404 S Kennedy Dr
Bradley, IL 60915-2137
Mailing address
404 S Kennedy Dr
Bradley, IL 60915-2137
Phone (815) 929-9296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4632052 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
404 S Kennedy Dr
Bradley, IL 60915-2137
Phone (815) 929-9296
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010127 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Til Chiropractic, PC. | Chiropractor | Current | Accepting new patients |
Locations
404 S Kennedy Dr
Bradley, IL 60915
Phone (815) 929-9296
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1730184862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 S KENNEDY DR",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609152137",
"telephone_number": "815-929-9296",
"fax_number": "815-929-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S KENNEDY DR",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609152137",
"telephone_number": "815-929-9296",
"fax_number": "815-929-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN TIL",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4632052",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.