DR. BEAU J ELLSWORTH (D.C.) – Chiropractor, NPI 1740388263

DR. BEAU J ELLSWORTH (D.C.) is a healthcare provider. based in Park ridge, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038011367 (IL). The NPI Number for DR. BEAU J ELLSWORTH (D.C.) is 1740388263

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BEAU J ELLSWORTH (D.C.)
NPI
1740388263
Phone
(847) 318-1144
Address
32 MAIN ST STE B
Enumeration Date
20 September 2006
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
8473181144
Graduation Year
2005 (21 years ago)
PAC ID
2961409164
Group Practice PAC ID
9931354248
Professional Enrollment ID
I20091020000029
Address ID
IL600684060PA32XXXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

Provider Addresses for DR. BEAU J ELLSWORTH (D.C.)

  • 32 MAIN ST STE B

    PARK RIDGE, IL 600684060

    Phone: (847) 318-1144

    Fax: (847) 318-8866

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091020000029IChiropracticILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions73338$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931354248View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

Does DR. BEAU J ELLSWORTH (D.C.) have a public NPI I can cite?
Public records show DR. BEAU J ELLSWORTH (D.C.) under NPI 1740388263.
Is DR. BEAU J ELLSWORTH (D.C.)'s NPI status active today?
Active status means DR. BEAU J ELLSWORTH (D.C.)'s NPI record is not deactivated in the public file.
What does the directory say DR. BEAU J ELLSWORTH (D.C.) does?
Insurance directories may phrase it differently, but here DR. BEAU J ELLSWORTH (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BEAU J ELLSWORTH (D.C.)?
DR. BEAU J ELLSWORTH (D.C.) is associated with Park Ridge, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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