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NPI Code Detail

MEDICARE: LAUREN BEEKER DPT

MEDICARE: LAUREN BEEKER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT60379067WA
2225100000XPhysical Therapist070022085IL

General Provider Information

NPI Number : 1457788184
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BEEKER DPT
Provider Business Mailing Address
First Line : 950 LEE ST
Second Line : SUITE 210
City : DES PLAINES
State : IL
Zip : 60016-6532
Country : US
Telephone Number : 877-486-4140
Fax Number :
Provider Business Practice Location Address
First Line : 1657 W CORTLAND ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1119
Country : US
Telephone Number : 847-486-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2013
Last Update Date : 05/19/2016

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