Search › Illinois › 111NN0400X
Beau Blakeley, DC
NPI 1639644222 · on the registry since 2018
Practice
- Address
- 320 W Burlington Ave
La Grange, IL 60525 - Phone
- (708) 497-2441
Registry record
- Primary taxonomy
- 111NN0400X
111NN0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois