Andre Beans
Specialist, Prosthetics Case Management in Chicago, IL. Individual provider (NPI-1).
NPI number1780178780
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1780178780
- Entity type
- Individual (NPI-1)
- Name
- Andre Beans
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2018
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | IL | Yes |
Practice location
68 E 21st StChicago, IL 60616-1730
Phone 312-934-3360
Mailing address
4626 S Evans AveChicago, IL 60653-4244
Phone 312-934-3360
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