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John R Deforest D.O. S.C.

Family Medicine Physician in Beecher, IL · enumerated 2006 · authorized official Karen Ruckman, Acct Rep..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144241407

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Registry record

Entity type Organization (Type 2)
Legal business name John R Deforest D.O. S.C.
Practice address 715 S Dixie Hwy, Beecher, IL, 60401
Phone (708) 946-9330
Fax (708) 946-2471
Enumeration date Jul 22, 2006
Last updated in NPPES Dec 10, 2014

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 336051704 (IL) Primary

Authorized official

Name Karen Ruckman
Title Acct Rep.
Phone (708) 946-3990

Other identifiers

Identifier Type State Issuer
0360899981 Medicaid IL -
080154175 Other IL RAILROAD MEDICARE
9925692 Other IL BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-10. Verify at npiregistry.cms.hhs.gov.
Where is John R Deforest D.O. S.C. located?
The practice location on file with NPPES is in Beecher, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-10.