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Individual

BEATA BOGDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3700 W 203RD ST, OLYMPIA FIELDS, IL 60461-1180
(708) 679-1890
(708) 747-9859
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209029509
IL
363LF0000X
Family Nurse Practitioner
209029509
IL

Other

Enumeration date
06/10/2024
Last updated
09/19/2024
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