Individual provider · Type 1 NPI
Beau J. Ellsworth, DC
Chiropractor · Park Ridge, IL
NPI number
1740388263
Active
Practice location
32 Main St Ste B
Park Ridge, IL 60068
Fax (847) 318-8866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038011367 (IL) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1740388263
Beau J. Ellsworth, DC's National Provider Identifier is 1740388263, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Park Ridge, IL. The record was last updated on Sep 23, 2024.