Beverly Bone and Joint Clinic LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

BEVERLY BONE AND JOINT CLINIC LLC

Practice address

10448 S Western Ave
Chicago, IL 60643-2508

Phone

(708) 360-3507

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Nathan Smith

Title

Biller

Phone

(810) 358-8749

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1649052002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432508",
            "telephone_number": "708-360-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY BONE AND JOINT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-358-8749"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Bevan
• Bevel Up Medical Services
• Grace A Beveridge, PA-C
• Jennifer Lynn Beverlin, D.C.
• Beverly Behavioral Health, LTD
• Beverly Family Chiropractic Center
• Beverly Group Mental Health Services, Inc
• Beverly Group MHS, Inc.
• Beverly Henderson LTD P.C
• Beverly Hills Home Care

• Pain Medicine (Anesthesiology) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.