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Individual

CODY BEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
3400 GRIFFIN AVE, PEKIN, IL 61554-6246
(309) 347-4277
(309) 347-4388
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(309) 347-4277
(309) 347-4388

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209018970
IL
363LF0000X
Family Nurse Practitioner
Primary
209018970
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041431013
REGISTERED PROFESSIONAL NURSE
IL
01
209018970
ADVANCED PRACTICE REGISTERED NURSE
IL
01
309014113
CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
04/08/2019
Last updated
04/30/2026
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