Individual
DR. BEAU J ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
32 MAIN ST STE B, PARK RIDGE, IL 60068
(847) 318-1144
(847) 318-8866
Mailing address
32 MAIN ST STE B, PARK RIDGE, IL 60068-4060
(847) 318-1144
(847) 318-8866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011367
IL
Other
Enumeration date
09/20/2006
Last updated
09/23/2024
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