Individual
MS. DAVENA JANEEN BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
2340 S HIGHLAND AVE, SUITE 300, LOMBARD, IL 60148-5371
(630) 261-1210
(630) 261-1211
Mailing address
5747 W WARWICK AVE, CHICAGO, IL 60634-2658
(773) 332-7145
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.015353
IL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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