Organization Active NPI

Select Health Chiropractic LTD.

Doing business as NA

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1184998023
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011385 Issued in IL
Legal business name
SELECT HEALTH CHIROPRACTIC LTD.
Doing business as
NA
Practice address
1450 W Main St
Suite a
St Charles, IL 60174-1679
Phone
(630) 377-2077
Fax
(630) 377-2088
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Stephanie M Beelendorf, D.C.NPI 1093957003
Title
Chiropractor
Phone
(815) 690-4223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011385 IL Primary

Addresses

Primary practice location

1450 W Main St
Suite a
St Charles, IL 60174-1679

Mailing address

1450 W Main St
Suite a
St Charles, IL 60174-1679
Phone (630) 377-2077

Other names 1

  • NA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1184998023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W MAIN ST",
            "address_2": "SUITE A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741679",
            "telephone_number": "630-377-2077",
            "fax_number": "630-377-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W MAIN ST",
            "address_2": "SUITE A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741679",
            "telephone_number": "630-377-2077",
            "fax_number": "630-377-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT HEALTH CHIROPRACTIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "BEELENDORF",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-690-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.