Individual
NYISHA BEEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 W 69TH ST, CHICAGO, IL 60621-3746
(312) 538-8907
Mailing address
7325 S INDIANA AVE, CHICAGO, IL 60619-1616
(773) 406-4246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041429948
IL
Other
Enumeration date
06/06/2019
Last updated
05/01/2026
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