Individual
CODY BEER
Active
Individual
CODY BEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
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
Update your record
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