NPI 1467468207 · live from the CMS NPI Registry
Bart Donald Beaver, DPM
Podiatrist, Foot & Ankle Surgery in Lemont, IL. National Provider Identifier 1467468207, active.
NPI record
| NPI | 1467468207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 15531 127th St, Lemont, IL 60439 |
| Practice phone | 630-257-9000 |
| Mailing address | 1660 Feehanville Dr Ste 450, Mt Prospect, IL 60056 |
| Enumerated | August 1, 2006 |
| Last updated | December 27, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016004699 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.