Individual
BART DONALD BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15531 127TH ST, LEMONT, IL 60439-8555
(630) 257-9000
(630) 257-9399
Mailing address
1660 FEEHANVILLE DR STE 450, MT PROSPECT, IL 60056-6023
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004699
IL
Other
Enumeration date
08/01/2006
Last updated
12/27/2021
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