Kathleen Beavis
Pathology, Clinical Pathology/Laboratory Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1689794075
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1689794075
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Beavis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | 036103230 | IL | Yes |
Practice location
5841 S Maryland AveChicago, IL 60637-1443
Phone 888-824-0200
Mailing address
150 Harvester DrSuite 300
Burr Ridge, IL 60527-5919
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