Provider Type Icon

DEBORAH L. BEATY D.D.S. P.C. NPI 1053587717


NPI Information

NPI: 1053587717
Provider Name: DEBORAH L. BEATY D.D.S., P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
111 N WABASH AVE STE 1921
CHICAGO, IL
ZIP 60602
Phone: (312) 332-4424
Get Directions

DEBORAH L. BEATY D.D.S., P.C. is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DEBORAH L. BEATY D.D.S., P.C. NPI is 1053587717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 N WABASH AVE STE 1921
CHICAGO, IL
ZIP 60602-970
Phone: (312) 332-4424
Fax: (312) 332-4423

The provider's authorized official is Deborah L. Beaty .
The authorized official title is Dentist and has the following contact phone number (312) 332-4424.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 5/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice060006022ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060006022OTHERILLINOISPROFESSIONAL CORPORATION/DENTAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.