MEDICARE: MRS. KAREN ANN BEAGLES PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209035344	IL

General Provider Information

NPI Number	:	1831021435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN ANN BEAGLES PMHNP-BC

Provider Business Mailing Address
First Line	:	5231 141ST ST
Second Line	:
City	:	CRESTWOOD
State	:	IL
Zip	:	60418-1561
Country	:	US
Telephone Number	:	217-419-5929
Fax Number	:

Provider Business Practice Location Address
First Line	:	5231 141ST ST
Second Line	:
City	:	CRESTWOOD
State	:	IL
Zip	:	60418-1561
Country	:	US
Telephone Number	:	217-419-5929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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