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Individual

MICHAEL BEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-3055
(312) 926-5924
(312) 926-6134
Mailing address
251 E HURON ST STE 16-738, CHICAGO, IL 60611-3055
(312) 926-5924
(312) 926-6134

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.074599
IL
208M00000X
Hospitalist Physician
Primary
036160274
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/20/2019
Last updated
08/26/2022
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