DR. Mary Lou Beach, D.C., C.C.S.P.
NPI #1013009083 in Bloomington, Illinois
Provider Information
- NPI Number
- 1013009083
- Entity Type
- Individual
- Name
- DR. Mary Lou Beach, D.C., C.C.S.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor - Sports Physician
- Credential
- D.C., C.C.S.P.
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Sep 28, 2011
Practice Location
- Address
- 409 E FRONT ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-5309
- Phone
- (309) 828-3415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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