Individual
KANAHI BEATHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
455 E MAIN ST, EAST DUNDEE, IL 60118-1529
(847) 428-2273
(847) 428-3128
Mailing address
2200 S MAIN ST STE 309, LOMBARD, IL 60148-5366
(847) 656-8288
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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