Beau J Ellsworth in Park Ridge - Chiropractor

Beau J Ellsworth - NPI 1740388263

Beau J Ellsworth is a Chiropractor in Park Ridge, Illinois. Beau J Ellsworth practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Beau J Ellsworth is 1740388263. The last update date is 2018-08-21.

Beau J Ellsworth's current location address is 32 Main St Ste B, Park Ridge, Illinois. You can contact this provider via phone number 8473181144 and fax number 8473188866. The mailing address for Beau J Ellsworth is 32 Main St Ste B, Park Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Beau J Ellsworth
Address 32 Main St Ste B, Park Ridge, Illinois
Phone Number 8473181144
Fax Number 8473188866
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1740388263
Provider Enumeration Date 2006-09-20
Last Updated Date 2018-08-21

Provider Mailing Address Detail

Address 32 Main St Ste B
City Park Ridge
State Illinois (IL)
Post Code 600684060
Phone Number 8473181144
Fax Number 8473188866

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38011367
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Beau J Ellsworth

What is the unique identifier code issued to Beau J Ellsworth by the Centers for Medicare & Medicaid Services?

The Beau J Ellsworth has been assigned the NPI (National Provider Identifier) 1740388263. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Beau J Ellsworth is located?

The Beau J Ellsworth is situated at the following address: 32 Main St Ste B, Park Ridge, IL, 600684060.

What is Beau J Ellsworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Beau J Ellsworth is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740388263 to Beau J Ellsworth?

The Centers for Medicare & Medicaid Services assigned the 1740388263 to Beau J Ellsworth on 2006-09-20.

When was the information related to Beau J Ellsworth most recently updated or refreshed?

The details pertaining to the Beau J Ellsworth, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-08-21.

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