Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 036109533 | IL |
NPI | 1144288127 |
---|---|
Provider Name | Dr. Christy Anna Beyer |
First Address | Chicago, IL 60611-4448 |
Second Address | Chicago, IL 60611-4448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 11/06/2014 |