Individual
ANDRE BEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 E 21ST ST, CHICAGO, IL 60616-1730
(312) 934-3360
Mailing address
4626 S EVANS AVE, CHICAGO, IL 60653-4244
(312) 934-3360
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
IL
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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