Individual
ADAM T BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-1495
(216) 201-5293
Mailing address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 695-3200
(847) 931-5778
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036134860
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.134365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134860
—
IL
Enumeration date
06/08/2011
Last updated
11/13/2019
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