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Search › Illinois › 208000000X

Shad Beaty

NPI 1538241591 · on the registry since 2006

Practice

Address
2005 Jacobssen Dr
Normal, IL 61761
Phone
(309) 319-7360
Organisation at this address
Toc Llc
Premier Medical Group, Llc
Urohealth Institute, L.L.C.
Bloomington Perfusionist Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois