Organization
BEAIVI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NAGLICH PMHNP, DNP (OWNER)
(847) 420-1090
Entity
Organization
Contact information
Practice address
1542 CLEVELAND AVE, LA GRANGE PARK, IL 60526-1308
(847) 616-8271
Mailing address
1542 CLEVELAND AVE, LA GRANGE PARK, IL 60526-1308
(847) 616-8271
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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