Individual
LONI BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
Mailing address
8632 E 3550 NORTH RD, ROSSVILLE, IL 60963-7122
(217) 495-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041413567
IL
163W00000X
Registered Nurse
41413567
IL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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