DR. BEAU BLAKELEY


Address: 320 W Burlington Ave, La Grange, IL 60525-2363
Phone: 7084972441

DR. BEAU BLAKELEY (NPI# 1639644222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639644222
Entity Type Individual
Full Name DR. BEAU BLAKELEY
Credential DC
Practice Address 320 W Burlington Ave
La Grange
IL 60525-2363
Practice Telephone 7084972441
Mailing Telephone 7084972441
Enumeration Date 2018-10-10
Last Update Date 2018-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111NN0400X Chiropractor
Specialization: Neurology
038013267 IL Chiropractic Providers

Office Location

Street Address 320 W BURLINGTON AVE
City LA GRANGE
State IL
Zip Code 60525-2363

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1679953582 Paulina Pinzon Counselor 6548 Laurel Avenue, Indian Head Park, IL 60525 2015-06-05
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1477833218 Robyn Lee Frendling Behavioral Analyst 9649 W. 55th St, Countryside, IL 60525 2011-08-25
1457630543 Kerri E Kabela Physical Therapist 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 2011-08-08
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Taxonomy Information

Taxonomy Code 111NN0400X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Neurology

Taxonomy Definition

Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376175893 Lauren Destephano Chiropractor 2100 N Us Highway 12 Ste 101, Spring Grove, IL 60081-8308 2020-02-12
1396393682 Neurologic Wellness Institute, Pllc Chiropractor 160 E Grand Ave # 200, Chicago, IL 60611-3800 2019-08-29
1205354503 Connor Lavallie Chiropractor 240 W River Dr, St Charles, IL 60174 2017-09-07
1588013775 Matthew Jacob Imber Chiropractor 1220 Hobson Rd Ste 220, Naperville, IL 60540 2016-06-08
1801190525 Spine & Joint Institute of Lake County Chiropractor 2634 Grand Ave Ste 100, Waukegan, IL 60085-2459 2011-01-10
1992944805 Dr H. A. Metcalf P.C. Chiropractor 458 N Lake St, Aurora, IL 60506-4106 2009-02-17
1346495512 Bioblu, LLC Chiropractor 9229 S 78th Ave, Hickory Hills, IL 60457-2133 2008-12-01
1467610691 Frank George Antonino Chiropractor 200 E Chicago Ave, Suite 102, Westmont, IL 60559-1746 2008-05-23
1366654501 Spine Institute of Waukegan Chiropractor 2634 Grand Ave Suite 100, Waukegan, IL 60085-2458 2007-05-03
1801017405 Handel A Metcalf Chiropractor 458 N.lake St, Aurora, IL 60507 2007-05-01
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Competitor

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City LA GRANGE
Zip Code 60525

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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