Individual
CLARENCE BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5943 S ABERDEEN ST, CHICAGO, IL 60621-1429
(773) 498-8384
Mailing address
5726 S SANGAMON ST, CHICAGO, IL 60621-2238
(312) 513-7857
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
05554151
IL
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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