Provider Demographics
NPI:1598085714
Name:BE WELL CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:BE WELL CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-280-5455
Mailing Address - Street 1:20855 S. LAGRANGE RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423
Mailing Address - Country:US
Mailing Address - Phone:815-464-1414
Mailing Address - Fax:
Practice Address - Street 1:20855 S. LAGRANGE RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423
Practice Address - Country:US
Practice Address - Phone:815-464-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011659261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center