MRS. PAMELA BEAUDUY APN NPI 1679695274

NPI Information

NPI: 1679695274
Provider Name: MRS. PAMELA BEAUDUY, APN
Classification: Clinic/Center - 261QS1000X
Entity Type: Individual

Specialization: Student Health

PECOS Registration: Yes

Address:
1901 W HARRISON ST
CHICAGO, IL
ZIP 60612
Phone: (773) 854-3827
Get Directions

MRS. Pamela Beauduy, APN is a student health clinic center in Chicago, IL. MRS. Pamela Beauduy, APN NPI is 1679695274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 W HARRISON ST
CHICAGO, IL
ZIP 60612-714
Phone: (773) 854-3827
Fax: (773) 854-3826

The NPI 1679695274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/8/2007.

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
1	261QS1000X	Clinic/Center	Student Health		ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3007037	OTHER	ILLINOIS	EMPLOYMENT BADGE NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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