ETHAN BEATY NPI 1669381257

NPI Information

  • NPI: 1669381257
  • Provider Name: ETHAN BEATY
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1620 W HARRISON ST
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 942-5103

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NPI Details

Ethan Beaty is a psychiatric/mental health registered nurse in Chicago, IL. Ethan Beaty NPI is 1669381257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1620 W HARRISON ST
CHICAGO, IL
ZIP 60612-801
Phone: (312) 942-5103

The enumeration date for this NPI number is 9/1/2026 and was last updated on 9/1/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health041.506601ILLINOISYes

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: 11/21/2025

NPI Synchronization or Removal

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