SHAD BEATY

Pediatrics

Active Individual
NPI: 1538241591

Practice Address

2005 JACOBSSEN DR
Normal, IL 61761

Phone: (309) 319-7360

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 036-106215 (IL)

Frequently Asked Questions

NPI 1538241591 is the National Provider Identifier for SHAD BEATY, a Pediatrics provider located in Normal, IL. This NPI was enumerated on October 19, 2006.
SHAD BEATY practices at 2005 JACOBSSEN DR, Normal, IL 61761.

Quick Facts

NPI
1538241591
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Oct 3, 2022

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