Individual
DR. HOWARD EARL BEEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEMORIAL DR, SUITE 204, DECATUR, IL 62526-3950
(217) 872-1040
(217) 872-1042
Mailing address
2 MEMORIAL DR, SUITE 204, DECATUR, IL 62526-3950
(217) 872-1040
(217) 872-1042
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036-043906
IL
208000000X
Pediatrics Physician
036-043906
IL
2080P0201X
Pediatric Allergy/Immunology Physician
036-043906
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043906
—
IL
Enumeration date
04/25/2006
Last updated
02/16/2010
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