Individual
AMBER BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 GROUSE CT, ROLLING MEADOWS, IL 60008-2601
(847) 204-5288
Mailing address
2808 GROUSE CT, ROLLING MEADOWS, IL 60008-2601
(847) 204-5288
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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