JOHN R DEFOREST D.O. S.C.
NPI 1144241407
Family Medicine in Beecher, IL

Active since July 22, 2006
715 S DIXIE HWY, BEECHER, IL 60401(708) 946-9330(708) 946-2471 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John R Deforest D.o. S.c. NPPES

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

JOHN R DEFOREST D.O. S.C. (NPI 1144241407) is a healthcare organization registered as a family medicine in Beecher, Illinois and active in the NPI registry since July 2006. The organization lists Karen Ruckman, Acct Rep., as its authorized official.

NPPES Registry Identity

NPI1144241407
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN R DEFOREST D.O. S.C.
Location Address715 S DIXIE HWYBeecher, IL 60401-3668
Mailing Address715 S Dixie HwyBeecher, IL 60401-3668 · (708) 946-9330 · Fax (708) 946-2471
Fax(708) 946-2471
Organization SubpartNo
Authorized OfficialKaren RuckmanAcct Rep. · (708) 946-3990
Enumeration DateJuly 22, 2006
Last NPPES UpdateDecember 10, 2014
NPI 1144241407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 336051704
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
715 S DIXIE HWY, Beecher, IL 60401

Other Identifiers 4

Other080154175IL · Railroad Medicare
Medicare UPINK28565IL
Other9925692IL · Blue Cross Blue Shield
Medicaid0360899981IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Family Medicine
715 S DIXIE HWY
BEECHER, IL 60401
Nurse Practitioner (Family)
715 S DIXIE HWY
BEECHER, IL 60401
Pharmacy (Community/Retail Pharmacy)
715 S DIXIE HWY
BEECHER, IL 60401

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 John R Deforest D.O. S.C.'s NPI number?

The NPI number for John R Deforest D.O. S.C. is 1144241407. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is John R Deforest D.O. S.C. located?

John R Deforest D.O. S.C. is located at 715 S Dixie Hwy, Beecher, IL 60401. The listed phone number is (708) 946-9330.

What is John R Deforest D.O. S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John R Deforest D.O. S.C. was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.