Individual
DR. ROBERT ALFRED BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 NORTH ELM STREET, SUITE 114, HINSDALE, IL 60521-3247
(630) 986-8290
(630) 986-8312
Mailing address
911 NORTH ELM STREET, SUITE 114, HINSDALE, IL 60521-3247
(630) 986-8290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-037972
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201575
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/09/2005
Last updated
03/19/2008
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