Organization
LIFECORE SC
Active
Organization
LIFECORE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BEADLE (PRESIDENT)
(630) 243-0145
Entity
Organization
Contact information
Practice address
106 STEPHEN ST, LL4, LEMONT, IL 60439-3674
(630) 243-0145
(630) 257-0854
Mailing address
14234 S BELL RD, #137, HOMER GLEN, IL 60491-8122
(630) 243-0145
(630) 257-0854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
05/22/2006
Last updated
07/21/2022
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