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NPI Code Detail

MEDICARE: BEATA JANTON

MEDICARE:   BEATA  JANTON
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner277000621IL
2363LF0000XFamily Nurse Practitioner209.012432IL

General Provider Information

NPI Number : 1538556162
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATA JANTON
Provider Business Mailing Address
First Line : 4403 EDINBURG LN
Second Line :
City : HANOVER PARK
State : IL
Zip : 60133-2956
Country : US
Telephone Number : 773-564-5355
Fax Number : 773-564-5359
Provider Business Practice Location Address
First Line : 3934 W 26TH ST STE 204
Second Line :
City : CHICAGO
State : IL
Zip : 60623-3743
Country : US
Telephone Number : 630-716-9453
Fax Number : 630-489-9606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2015
Last Update Date : 10/28/2024

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Directions to “ BEATA JANTON ” Practice Location

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