Beth Ann McKee, D.C.

Individual provider Active NPI Chiropractor · Lacon, IL

NPI 1497863997 · NPPES record last updated Oct 2, 2014

Key facts

NPI
1497863997
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
038-006723 (IL)
Practice address
1109 5TH St
Lacon, IL 61540-0226
Phone
(309) 246-2566
Fax
(309) 246-3430
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
038-006723ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Ann McKee, D.C. Chiropractor Past
since Mar 1, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-006723 IL Yes

Addresses

Primary practice location

1109 5TH St
Lacon, IL 61540-0226

Mailing address

1850 Pigeon Creek Rd
Varna, IL 61375-9306
Phone (309) 399-7100

Other identifiers

IdentifierTypeStateIssuer
038-006723MedicaidIL
06282002OtherILBLUECROSS/BLUESHIELD
350-03-3950OtherILRAILROAD INSURANCE

Other providers in Lacon, IL

All providers in Lacon, IL · Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.