Beata Bogdan, FNP
Nurse Practitioner in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1891537817
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1891537817
- Entity type
- Individual (NPI-1)
- Name
- Beata Bogdan
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2024
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209029509 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209029509 | IL |
Practice location
3700 W 203rd StOlympia Fields, IL 60461-1180
Phone 708-679-1890 · Fax 708-747-9859
Mailing address
Po Box 713260Chicago, IL 60677-1260
Phone 630-469-9200
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