Individual
MRS. MARTHA KEMP BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2233 W DIVISION ST STE 7, CHICAGO, IL 60622-3086
(312) 770-2000
Mailing address
2027 W HOMER ST, CHICAGO, IL 60647-4505
(630) 800-8981
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041.453878
IL
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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