Beall, Heather

Beall, Heather is an individual health care provider with primary practice located at 260 E Congress Pkwy , Crystal Lake IL 60014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Beall, Heather can be contacted via phone (815) 477-0300.

Contact Information

Primary practice address
260 E Congress Pkwy Crystal Lake IL 60014
Phone: (815) 477-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-109230 Illinois

Profile Details

NPI number 1447202577
LBN Legal business name Beall, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 17th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447202577 NPPES
Illinois Other 036109230 STATE LICENSE
Illinois MEDICAID 036109230 STATE LICENSE

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