Individual
KATHLEEN BEIFUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
3729 N CLIFTON AVE, APT. #2, CHICAGO, IL 60613-3811
(630) 805-0376
Mailing address
3729 N CLIFTON AVE, APT. #2, CHICAGO, IL 60613-3811
(630) 805-0376
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
03/27/2009
Last updated
09/09/2009
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