Individual
CHERYL BEUTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
135 N ADDISON AVE, ELMHURST, IL 60126-2857
(630) 832-3100
(630) 832-1604
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.389928
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
309.018742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474579189001
—
IL
Enumeration date
01/27/2012
Last updated
04/05/2024
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