MEDICARE: CORAL BEALER

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	171M00000X	Case Manager/Care Coordinator
2	104100000X	Social Worker	150116151	IL

General Provider Information

NPI Number	:	1972178143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORAL BEALER

Provider Business Mailing Address
First Line	:	1301 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-2460
Country	:	US
Telephone Number	:	614-299-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 W MONROE ST STE 422
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-4955
Country	:	US
Telephone Number	:	888-500-2067
Fax Number	:

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

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	07/28/2025

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Directions to “ CORAL BEALER ” Practice Location

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