Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY LOU BEACH, D.C., C.C.S.P.
ActiveDR. MARY LOU BEACH, D.C., C.C.S.P. is a Sports Physician (Chiropractor) healthcare provider located in BLOOMINGTON, Illinois. NPI 1013009083 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1013009083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2006 (19.695296105611 yrs)
- Last Updated
- Sep 28, 2011
- License
-
038-005425 (IL)
Practice Information
- Address
-
409 E FRONT STBLOOMINGTON, IL, 617015309Browse IL providers · Browse ZIP 61701
- Phone
- 3098283415
- Fax
- 3098282665
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.