Individual
MS. MARIBETH BEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-0063
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-0063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209004365
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209004365
IL
Other
Enumeration date
01/08/2013
Last updated
08/30/2021
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