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Lena Marie Beale, APRN

Nurse Practitioner, Family in Chicago, IL. Individual provider (NPI-1).

NPI number1164078788
StatusActive
Last updated in NPPESAug 11, 2019

Details

NPI
1164078788
Entity type
Individual (NPI-1)
Name
Lena Marie Beale
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2019
Last updated
Aug 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209019801ILYes

Other names

  • Lena Marie Crossman (Former Name)

Practice location

2200 W Touhy Ave
Chicago, IL 60645-3412

Phone 773-751-1875

Mailing address

5727 N Mango Ave Fl 2
Chicago, IL 60646-6307

Phone 815-878-0878

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