MEDICARE: WILLIAM BEAM DDS, MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry		IL

General Provider Information

NPI Number	:	1598988594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BEAM DDS, MS

Provider Business Mailing Address
First Line	:	6855 NORTH AVE
Second Line	:	DRS BATTISTONI AND BEAM
City	:	OAK PARK
State	:	IL
Zip	:	60302-1023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6855 NORTH AVE
Second Line	:	DRS BATTISTONI AND BEAM
City	:	OAK PARK
State	:	IL
Zip	:	60302-1023
Country	:	US
Telephone Number	:	708-848-5900
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	07/08/2007

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