Michael Bevan
Health & Wellness Coach in River Forest, IL. Individual provider (NPI-1).
NPI number1104790609
StatusActive
Last updated in NPPESSep 30, 2025
Details
- NPI
- 1104790609
- Entity type
- Individual (NPI-1)
- Name
- Michael Bevan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2025
- Certification date
- Sep 30, 2025
- Last updated
- Sep 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
1526 Franklin AveRiver Forest, IL 60305-1043
Phone 773-307-7858
Mailing address
1526 Franklin AveRiver Forest, IL 60305-1043
Phone 773-307-7858
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