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BEVERLY HENDERSON LTD P.C
NPI 1790977841
Chiropractor in Chicago, IL

Active since August 13, 2007
2807 S ARCHER AVE, CHICAGO, IL 60608(312) 791-0453(312) 791-0715 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beverly Henderson Ltd P.c NPPES

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

BEVERLY HENDERSON LTD P.C (NPI 1790977841) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since August 2007. The organization lists Beverly Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1790977841
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBEVERLY HENDERSON LTD P.C
Location Address2807 S ARCHER AVEChicago, IL 60608-5617
Mailing Address2807 S Archer AveChicago, IL 60608-5617 · (312) 791-0453 · Fax (312) 791-0715
Phone(312) 791-0453
Fax(312) 791-0715
Organization SubpartNo
Authorized OfficialBeverly HendersonPresident · (312) 791-0453
Enumeration DateAugust 13, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1790977841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2807 S ARCHER AVE, Chicago, IL 60608
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Other Identifiers 3

Medicare PIN359460IL
Other1605885IL · Bcbs
Medicare UPINU11240IL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Henderson Ltd P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beverly Henderson Ltd P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Beverly Henderson, D.C.
Chiropractic
NPI 1942313085
2807 S ARCHER AVE
Chicago, IL 60608
(312) 791-0453
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beverly Henderson Ltd P.C's NPI number?

The NPI number for Beverly Henderson Ltd P.C is 1790977841. It was assigned to this organization in the NPPES registry on August 13, 2007.

Where is Beverly Henderson Ltd P.C located?

Beverly Henderson Ltd P.C is located at 2807 S Archer Ave, Chicago, IL 60608. The listed phone number is (312) 791-0453.

What is Beverly Henderson Ltd P.C's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Beverly Henderson Ltd P.C enrolled in Medicare?

Yes. Beverly Henderson Ltd P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beverly Henderson Ltd P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Beverly Henderson Ltd P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Henderson Ltd P.C was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.