Blakeley, Beau
Blakeley, Beau is an individual health care provider with primary practice located at 320 W Burlington Ave , La Grange IL 60525-2363. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Blakeley, Beau can be contacted via phone (708) 497-2441.Contact Information
Primary practice address
320 W Burlington Ave
La Grange IL 60525-2363
Phone: (708) 497-2441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 038013267 | Illinois |
Profile Details
| NPI number | 1639644222 |
|---|---|
| LBN Legal business name | Blakeley, Beau |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2018 |
| Last updated | Oct 10th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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