ELLSWORTH FAMILY CHIROPRACTIC, SC
NPI 1861744815
Chiropractor in Park Ridge, IL

Active since October 15, 2012
32 MAIN ST, SUITE B, PARK RIDGE, IL 60068(847) 318-1144(847) 318-8866 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellsworth Family Chiropractic, Sc NPPES

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

ELLSWORTH FAMILY CHIROPRACTIC, SC (NPI 1861744815) is a healthcare organization registered as a chiropractor in Park Ridge, Illinois and active in the NPI registry since October 2012. The organization lists Beau Jason Ellsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1861744815
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELLSWORTH FAMILY CHIROPRACTIC, SC
Location Address32 MAIN ST, SUITE BPark Ridge, IL 60068-4060
Mailing Address32 Main St, Suite BPark Ridge, IL 60068-4060 · (847) 318-1144 · Fax (847) 318-8866
Fax(847) 318-8866
Organization SubpartNo
Authorized OfficialBeau Jason EllsworthOwner · (847) 318-1144
Enumeration DateOctober 15, 2012
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1861744815 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.
32 MAIN ST, Park Ridge, IL 60068

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)

Ellsworth Family Chiropractic, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ellsworth Family Chiropractic, Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1740388263
32 MAIN ST STE B
Park Ridge, IL 60068
(847) 318-1144
✔ Accepts MedicareSame address
Chiropractic
NPI 1760486716
199 S ADDISON RD STE 105-106
Wood Dale, IL 60191
(630) 766-1552
✔ Accepts Medicare8.8 mi

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 Ellsworth Family Chiropractic, Sc's NPI number?

The NPI number for Ellsworth Family Chiropractic, Sc is 1861744815. It was assigned to this organization in the NPPES registry on October 15, 2012.

Where is Ellsworth Family Chiropractic, Sc located?

Ellsworth Family Chiropractic, Sc is located at 32 Main St Suite B, Park Ridge, IL 60068. The listed phone number is (847) 318-1144.

What is Ellsworth Family Chiropractic, Sc's specialty?

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

Is Ellsworth Family Chiropractic, Sc enrolled in Medicare?

Yes. Ellsworth Family Chiropractic, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellsworth Family Chiropractic, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ellsworth Family Chiropractic, Sc. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ellsworth Family Chiropractic, Sc was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.