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John R Deforest D.O. S.C.

John R Deforest D.O. S.C. is a healthcare organization registered as Family Medicine Physician in Beecher, IL, holding Type 2 (organization) NPI 1144241407 since 2006. The authorized official on file is Karen Ruckman, Acct Rep..

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NPI 1144241407
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 7089469330
Fax 7089462471
Enumeration date 2006-07-22
Last updated in NPPES 2014-12-10

Authorized official

Name Karen Ruckman
Title Acct Rep.
Phone 7089463990

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary 336051704 IL

Other identifiers

Identifier Type State Issuer
0360899981 Medicaid IL
080154175 Other IL RAILROAD MEDICARE
9925692 Other IL BLUE CROSS BLUE SHIELD
Copy-ready billing details
Provider: John R Deforest D.O. S.C.
NPI: 1144241407
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 715 S DIXIE HWY, Beecher, IL, 60401

Providers at this address

NPI Name Type Specialty Location
1003842964 John Deforest Individual Family Medicine Physician Beecher, IL
1023222304 Nancy Deyoung Individual Family Nurse Practitioner Beecher, IL
1265948848 Quik Scripts of Northwest Indiana LLC Organization Community/Retail Pharmacy Beecher, IL

Verify this record

Cross-check NPI 1144241407 against the authoritative CMS record: view John R Deforest D.O. S.C. on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-12-10.