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DR. MARY LOU BEACH D.C., C.C.S.P.
NPI 1013009083
Chiropractor - Sports Physician in Bloomington, IL

Active since September 28, 2006
409 E FRONT ST, BLOOMINGTON, IL 61701(309) 828-3415(309) 828-2665 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Lou Beach D.c., C.c.s.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY LOU BEACH D.C., C.C.S.P. (NPI 1013009083) is an individual sports physician in Bloomington, Illinois, licensed in Illinois (038-005425) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1013009083
Entity TypeIndividualFemale
Primary Taxonomy111NS0005X
Provider Legal NameDR. MARY LOU BEACHCredential: D.C., C.C.S.P.
Location Address409 E FRONT STBloomington, IL 61701-5309
Mailing Address409 E Front StBloomington, IL 61701-5309 · (309) 828-3415 · Fax (309) 828-2665
Phone(309) 828-3415
Fax(309) 828-2665
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1013009083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in IL · 038-005425
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
409 E FRONT ST, Bloomington, IL 61701
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Other Identifiers 2

Medicare UPINT38488IL
Medicare ID-Type UnspecifiedL61561IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEISS CHIROPRACTIC CENTER
Chiropractor
409 E FRONT ST
BLOOMINGTON, IL 61701
McLean County (309) 828-3415
WEISS WELLNESS & CHIROPRACTIC, LTD.
Chiropractor
409 E FRONT ST
BLOOMINGTON, IL 61701
McLean County (309) 828-3415
DR. STEPHEN MARK WEISS D.C.
Chiropractor
409 E FRONT ST
BLOOMINGTON, IL 61701
McLean County (309) 828-3415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Beach's NPI number?

The NPI number for Mary Beach is 1013009083. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Mary Beach located?

Mary Beach practices at 409 E Front St, Bloomington, IL 61701. The listed phone number is (309) 828-3415.

What is Mary Beach's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Mary Beach was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.