Beau J Ellsworth, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011367 Issued in IL

Practice address

32 Main St Ste B
Park Ridge, IL 60068

Phone

(847) 318-1144

Fax

(847) 318-8866

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellsworth Family Chiropractic, S.C.Group PAC ID 9931354248, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ellsworth Family Chiropractic, SC

  • Chiropractor
  • Park Ridge, IL
  • NPI 1861744815
  Medicare reassignment Care Compare group NPD Authorized official
• Elite Rehabilitation Institute, SC

  • Chiropractor
  • Joliet, IL
  • NPI 1295689222
  NPD
• Park Ridge Chiropractic

  • Chiropractor
  • Park Ridge, IL
  • NPI 1043437015
  NPD (past)
• Hundt Chiropractic, LLC

  • Chiropractor
  • La Crosse, WI
  • NPI 1871786632
  NPD (past)
• Johnson Chiropractic, Inc

  • Chiropractor
  • La Crosse, WI
  • NPI 1043332232
  NPD (past)
• Stucky Chiropractic Center SC

  • Chiropractor
  • Eau Claire, WI
  • NPI 1811986425
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1740388263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAIN ST STE B",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684060",
            "telephone_number": "847-318-1144",
            "fax_number": "847-318-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST STE B",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-318-1144",
            "fax_number": "847-318-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "BEAU",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ray Elliott, LCSW
• Nancy S Elliott, DC
• Neil L Elliott, DC
• Amanda Dawn Ellis-Pelletier, DO
• Ellsworth Family Chiropractic, SC
• Alexander John Ellyin, MD
• Shayla Marie Emmett, MCMSC, PA-C
• Empowered You Counseling LLC
• Endodontic Associates of Park Ridge LTD
• Susan Lee Engel, M.D.

• Chiropractor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.