Michael Bevan
Individual provider Active NPI Health & Wellness Coach · River Forest, IL
NPI 1104790609 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1104790609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 1526 Franklin Ave
River Forest, IL 60305-1043 - Phone
- (773) 307-7858
- NPI assigned
- Sep 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
1526 Franklin Ave
River Forest, IL 60305-1043
Mailing address
1526 Franklin Ave
River Forest, IL 60305-1043
Phone (773) 307-7858
Other providers in River Forest, IL
- Taylor Beirne
- Keti Berberi
- Berin Counseling LLC
- Linda Mae Bernard
- Better Balance Counseling, LTD
- Jason Michael Bonick
- Deborah L Borman
- John Brescia
- Brook Park Medical Associates S C
- Marquita N Brumley
All providers in River Forest, IL · Health & Wellness Coach in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.