MEDICARE: CLAUDIA LYNN BEALS MD

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	207P00000X	Emergency Medicine Physician	2020015162	MO
2	207P00000X	Emergency Medicine Physician	239455-01	NY
3	207P00000X	Emergency Medicine Physician	MD60939384	WA
4	207P00000X	Emergency Medicine Physician	036123381	IL
5	207P00000X	Emergency Medicine Physician	01068489A	IN
6	207P00000X	Emergency Medicine Physician	67065-20	WI
7	207P00000X	Emergency Medicine Physician	239455	NY

General Provider Information

NPI Number	:	1992959076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA LYNN BEALS MD

Provider Business Mailing Address
First Line	:	304 MAIN AVE
Second Line	:	209
City	:	NORWALK
State	:	CT
Zip	:	06851-6167
Country	:	US
Telephone Number	:	571-594-2251
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 E 53RD ST # 317
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4573
Country	:	US
Telephone Number	:	312-978-2601
Fax Number	:

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

Provider Enumeration Date	:	11/16/2008
Last Update Date	:	05/28/2026

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