OrganizationActive
John R Deforest D.O. S.c.
NPI 1144241407 · Family Medicine Physician · Beecher, IL
Provider details
- NPI number
- 1144241407
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Karen Ruckman, Acct Rep.(708) 946-3990
- License
- 336051704 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
715 S Dixie Hwy
Beecher, IL 60401-3668
Phone: (708) 946-9330
Fax: (708) 946-2471
Approximate (ZIP-level) locationGet directions
Mailing address
715 S Dixie Hwy
Beecher, IL 60401-3668
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2014-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.