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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