| Deborah L. Beaty D.d.s., P.c. | |
|
111 N Wabash Ave Ste 1921 Chicago IL 60602-2970 | |
| (312) 332-4424 | |
| (312) 332-4423 |
| Full Name | Deborah L. Beaty D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 N Wabash Ave Ste 1921, Chicago, Illinois |
| Authorized Official Name and Position | Deborah L. Beaty (DENTIST) |
| Authorized Official Contact | 3123324424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L. Beaty D.d.s., P.c. 111 N Wabash Ave Suite 1921 Chicago IL 60602 Ph: (312) 332-4424 | Deborah L. Beaty D.d.s., P.c. 111 N Wabash Ave Ste 1921 Chicago IL 60602-2970 Ph: (312) 332-4424 |
| NPI Number | 1053587717 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053587717 | NPI | - | NPPES |
| 060006022 | Other | IL | PROFESSIONAL CORPORATION/DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060006022 (Illinois) | Primary |
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