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Contact Information

BRENDA L BEITZEL, OT
137 CEDAR AVE
LAKE VILLA, IL60046
 Phone: 847-265-7300
 Fax: 847-265-7301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BRENDA L BEITZEL · (Female)

NPI Number 1528108230
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 02/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL Other 04932271 BLUE SHIELD
Hospital affiliation(s) Not Available
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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