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Contact Information

ELIO BETA
2160 S 1ST AVE
BLDG 110 ROOM 3210
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax: 708-216-9000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ELIO BETA · (Male)

NPI # 1689940561
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2012
Last updated 05/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036143123
  • IL License # 125.061813
Hospital affiliation(s)
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
  • MACNEAL HOSPITAL - (Acute Care)
    3249 SOUTH OAK PARK AVENUE
    BERWYN, IL 60402
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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