Ellsworth Family Chiropractic, Sc | |
32 Main St, Suite B, Park Ridge, IL 60068-4060 | |
(847) 318-1144 | |
(847) 318-8866 |
Full Name | Ellsworth Family Chiropractic, Sc |
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Type | Facility |
Speciality | Chiropractor |
Location | 32 Main St, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861744815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Beau J Ellsworth |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740388263 PECOS PAC ID: 2961409164 Enrollment ID: I20091020000029 |
Mailing Address | Practice Location Address |
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Ellsworth Family Chiropractic, Sc 32 Main St, Suite B, Park Ridge, IL 60068-4060 Ph: (847) 318-1144 | Ellsworth Family Chiropractic, Sc 32 Main St, Suite B, Park Ridge, IL 60068-4060 Ph: (847) 318-1144 |
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