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Organization
DAVID E. BEAUCHAMP, D.C., P.C.
Active
Organization
DAVID E. BEAUCHAMP, D.C., P.C.
Active
Other names
NORTHLAND CHIROPRACTIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ELLIS BEAUCHAMP D.C. (P.C., PRESIDENT)
(815) 626-6357
Entity
Organization
Contact information
Practice address
3706 RIVER RD, STERLING, IL 61081-4204
(815) 626-6357
(815) 626-6376
Mailing address
3706 RIVER RD, STERLING, IL 61081-4204
(815) 626-6357
(815) 626-6376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790870038
PROVIDER NPI
IL
01
—
988-2010
BC BS OF IL
IL
Enumeration date
07/02/2007
Last updated
03/12/2008
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