Organization
ELLSWORTH FAMILY CHIROPRACTIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU JASON ELLSWORTH D.C. (OWNER)
(847) 318-1144
Entity
Organization
Contact information
Practice address
32 MAIN ST, SUITE B, PARK RIDGE, IL 60068-4060
(847) 318-1144
(847) 318-8866
Mailing address
32 MAIN ST, SUITE B, PARK RIDGE, IL 60068-4060
(847) 318-1144
(847) 318-8866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
09/23/2024
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