Search › Illinois › 363LP0200X
Stacey Ward Beran
NPI 1760847248 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7464 N Sheridan Rd
Chicago, IL 60626 - Phone
- (773) 338-0200
- Organisation at this address
- Alden Village North, Inc.
Alden Village North, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-28
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