# BEYER CHIROPRACTIC CENTER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beyer Functional Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073757811
- **Authorized official:** STEPHEN R BEYER DO (OWNER)
- **Authorized official phone:** (708) 478-0690

## Contact information

- **Practice address:** 10012 W 190TH PL BLDG A, MOKENA, IL 60448-8752
- **Practice address phone:** (708) 478-0690
- **Practice address fax:** (708) 400-7949
- **Mailing address:** 10012 W 190TH PL, MOKENA, IL 60448-8752
- **Mailing address phone:** (708) 478-0690
- **Mailing address fax:** (708) 400-7949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038-007483 | IL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 09/19/2021