Beach, Brittany
Beach, Brittany is an individual health care provider with primary practice located at 180 Harvester Dr Suite 110, Burr Ridge IL 60527-7594. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Beach, Brittany can be contacted via phone (773) 834-4284.Contact Information
Primary practice address
180 Harvester Dr Suite 110
Burr Ridge IL 60527-7594
Phone: (773) 834-4284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 085004776 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004776 | Illinois |
Profile Details
| NPI number | 1902234941 |
|---|---|
| LBN Legal business name | Beach, Brittany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2013 |
| Last updated | Apr 30th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902234941 | NPPES |
| Texas | Other | 8096NF | BCBS |
| Texas | MEDICAID | 329043901 | BCBS |
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