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Contact Information

SANDRA BETA, NP
2520 ELISHA AVE
ZION, IL60099-2676
 Phone: 847-872-4716
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SANDRA BETA · (Female)

NPI Number 1265980932
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/12/2016
Last updated 01/04/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041316608
  • IL License # 209014423
Hospital affiliation(s)
  • MIDWESTERN REGION MED CENTER - (Acute Care)
    2520 ELISHA AVENUE
    ZION, IL 60099
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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