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Contact Information

HEATHER BEALL, MD
260 E CONGRESS PKWY
CRYSTAL LAKE, IL60014
 Phone: 815-477-0300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for HEATHER BEALL · (Female)

NPI # 1447202577
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-109230
  • IL Medicaid 036109230
  • IL Other 036109230 STATE LICENSE
Hospital affiliation(s)
  • CENTEGRA HEALTH SYSTEM - MC HENRY HOSPITAL - (Acute Care)
    4201 MEDICAL CENTER DRIVE
    MCHENRY, IL 60050
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
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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