Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Lou Beach, DC, CCSP

Individual provider Sports Physician Chiropractor · NPI 1013009083

Dr. Mary Lou Beach, DC, CCSP is a Sports Physician Chiropractor in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

409 E Frnt ST
Bloomington, IL 61701-5309
Phone: (309) 828-3415
Fax: (309) 828-2665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 038-005425 (IL)

Record details

NPI number1013009083
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC , CCSP
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESSeptember 28, 2011