Individual
MRS. CHRISTINE ANNE BEEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
926 W MONTANA ST, CHICAGO, IL 60614-2409
(773) 935-4755
(773) 935-3699
Mailing address
926 W MONTANA ST, CHICAGO, IL 60614-2409
(773) 935-4755
(773) 935-3699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-0062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630319
BLUE CROSS BLUE SHIELD ID
IL
01
—
2651305
AETNA PROVIDER NUMBER
IL
05
—
364460695-60614-01
—
IL
01
—
CB22080300P
EARLY INTERVENTION #
IL
Enumeration date
11/14/2006
Last updated
07/09/2007
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