NPI 1316975576 · live from the CMS NPI Registry
Eric Beatty, DPM
Podiatrist in Deerfield, IL. National Provider Identifier 1316975576, active.
NPI record
| NPI | 1316975576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 775 Waukegan Rd, Suite 200, Deerfield, IL 60015 |
| Practice phone | 800-317-0711 |
| Mailing address | 756 S Fred Shuttlesworth Cir, Cincinnati, OH 45229 |
| Enumerated | June 28, 2006 |
| Last updated | May 9, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 36003367B (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.