Beach, Robert
Beach, Robert is an individual health care provider with primary practice located at 208 S 1St Ave Ste G , Morton IL 61550-2044. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Beach, Robert can be contacted via phone (773) 234-3574.Contact Information
Primary practice address
208 S 1St Ave Ste G
Morton IL 61550-2044
Phone: (773) 234-3574
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 180008467 | Illinois |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180008467 | Illinois |
Profile Details
NPI number | 1770823999 |
---|---|
LBN Legal business name | Beach, Robert |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 25th, 2013 |
Last updated | Jul 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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