Individual
RICHARD BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2850 W 95TH ST STE 406, EVERGREEN PARK, IL 60805-2790
(708) 873-3200
(708) 873-3203
Mailing address
PO BOX 369, NEW LENOX, IL 60451-0369
(815) 463-0098
(815) 462-4955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36054433
IL
Other
Enumeration date
06/06/2006
Last updated
06/05/2013
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