Individual
MS. DEBORAH LORENE BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 N WABASH AVE STE 1921, CHICAGO, IL 60602-2970
(312) 332-4424
(312) 332-4423
Mailing address
111 N. WABASH AVE. SUITE 1921, CHICAGO, IL 60602
(312) 332-4424
(312) 332-4423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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