Individual
TERENCE BEISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, (16621 S. 107TH COURT, ORLAND PARK, IL. 60467), MAYWOOD, IL 60153
(708) 873-7355
(708) 460-6138
Mailing address
2160 S 1ST AVE, (16621 S. 107TH COURT, ORLAND PARK, IL. 60467), MAYWOOD, IL 60153
(708) 873-7355
(708) 460-6138
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36085494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36085494
—
IL
Enumeration date
02/14/2006
Last updated
07/07/2021
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