IndividualActive
Beau Blakeley, DC
NPI 1639644222 · Neurology Chiropractor · La Grange, IL
Provider details
- NPI number
- 1639644222
- Entity type
- Individual
- Primary specialty
- Neurology ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- License
- 038013267 (IL)
Specialties & taxonomies
Chiropractic Providers
Practice location
320 W Burlington Ave
La Grange, IL 60525-2363
Phone: (708) 497-2441
Approximate (ZIP-level) locationGet directions
Mailing address
320 W Burlington Ave
La Grange, IL 60525-2363
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.