Individual
DR. ANDREW GLENN BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2900 N LAKE SHORE DR FL 9, CHICAGO, IL 60657-5640
(773) 665-4836
Mailing address
1460 N HALSTED ST STE 501, CHICAGO, IL 60642-2615
(773) 388-6390
(312) 867-7101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007983
IL
Other
Enumeration date
10/29/2010
Last updated
03/17/2018
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