Organization
BEAM BEAUTY BAR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE LYN BEAMAN NP (OWNER)
(815) 222-7115
Entity
Organization
Contact information
Practice address
125 S 4TH ST, OREGON, IL 61061-1609
(815) 222-7115
Mailing address
7824 MCNAIR RD, ROCKFORD, IL 61102-5622
(815) 222-7115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
03/13/2026
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