Beasley, Bernadette Cynthia

Beasley, Bernadette Cynthia is an individual health care provider with primary practice located at 18141 Dixie Hwy Suite 203, Homewood IL 60430-2238. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beasley, Bernadette Cynthia can be contacted via phone (708) 922-3530.

Contact Information

Primary practice address
18141 Dixie Hwy Suite 203 Homewood IL 60430-2238
Phone: (708) 922-3530
Fax: (708) 922-3531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006734 Illinois

Profile Details

NPI number 1477512861
LBN Legal business name Beasley, Bernadette Cynthia
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Aug 10th, 2015 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1477512861 NPPES
Illinois Other 01634900 BCBS
Illinois Other 198803101304 BCBS

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