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General NPI Number Information
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NPI Number | 1073831590
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Entity Type | Individual
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Provider Name | MAUREE BEARD M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 3249 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-3429
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Country | US
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Telephone | 708-783-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 3998 FAIR RIDGE DRIVE SUITE 300
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City | FAIRFAX
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State | VA
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Zip | 22033-2921
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Country | US
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Telephone | 703-295-9360
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Fax | 703-766-9725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036135776
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License Number State | IL
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