Individual
DR. DAVID W BEEZHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 MCCLINTOCK DR, SUITE 201, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
02002583A
IN
207RI0200X
Infectious Disease Physician
Primary
036-086936
IL
207RI0200X
Infectious Disease Physician
3418
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-086-936
—
IL
05
—
0420273
—
IA
05
—
200856800
—
IN
Enumeration date
09/21/2005
Last updated
12/21/2021
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