Individual
DR. JOHN PAUL BEAUPIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6420 W 127TH ST, SUITE 105, PALOS HEIGHTS, IL 60463-2269
(708) 371-2310
(708) 371-9015
Mailing address
6420 W 127TH ST, SUITE 105, PALOS HEIGHTS, IL 60463-2297
(708) 371-2310
(708) 371-9015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004181
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004181
—
IL
01
—
480006720
RAIL ROAD MEDICARE NUMBER
IL
01
—
60001612
BLUE CROSS AND BLUE SHIEL
IL
Enumeration date
08/19/2006
Last updated
11/23/2010
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