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3706 River Rd, Sterling, IL 61081-4204 | |
| (815) 626-6357 | |
| (815) 626-6376 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3706 River Rd, Sterling, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962609867 | NPI | - | NPPES |
| 988-2010 | Other | IL | BC BS OF IL |
| 1790870038 | Other | IL | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | David Ellis Beauchamp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790870038 PECOS PAC ID: 3870677099 Enrollment ID: I20080227000264 |
| Mailing Address | Practice Location Address |
|---|---|
3706 River Rd, Sterling, IL 61081-4204 Ph: (815) 626-6357 | 3706 River Rd, Sterling, IL 61081-4204 Ph: (815) 626-6357 |
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