Beyer Chiropractic Center P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BEYER CHIROPRACTIC CENTER P.C.

Doing business as

Beyer Functional Wellness

Practice address

10012 W 190TH PL BLDG a
Mokena, IL 60448-8752

Phone

(708) 478-0690

Fax

(708) 400-7949

NPI assigned

Apr 23, 2009

Last updated

Sep 19, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen R Beyer, DONPI 1922293968

Title

Owner

Phone

(708) 478-0690

Specialties & licenses 2

Addresses

Other names 1

• Beyer Functional Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen R Beyer, DC

  • Chiropractor
  • Mokena, IL
  • NPI 1922293968
  Medicare reassignment NPD Authorized official
• Kelli L Harkey, NP-C

  • Nurse Practitioner
  • Winfield, IL
  • NPI 1396283495
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1073757811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 W 190TH PL",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488752",
            "telephone_number": "708-478-0690",
            "fax_number": "708-400-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 W 190TH PL BLDG A",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488752",
            "telephone_number": "708-478-0690",
            "fax_number": "708-400-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYER CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-478-0690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007483",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyer Functional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Galia L Beitner, D.O.
• Stefanie Bell, M.S. SLP
• Monika Benner
• Julie Berlin, PT
• Kathleen M Bester, FNP
• Stephen R Beyer, DC
• Sital Bhargava, DO
• Joyce E. Bibzak, DT
• Michelle Louise Biel, PT
• Nathan Birky, CRRN

• Medical Specialty Clinic/Center in Mokena, IL
• Providers in Mokena, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.