Beissel, Terence

Beissel, Terence is an individual health care provider with primary practice located at 2160 S 1St Ave (16621 S. 107Th Court, Orland Park, Il. 60467), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Beissel, Terence can be contacted via phone (708) 873-7355.

Contact Information

Primary practice address
2160 S 1St Ave (16621 S. 107Th Court, Orland Park, Il. 60467) Maywood IL 60153
Fax: (708) 460-6138
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36085494 Illinois

Profile Details

NPI number 1679547905
LBN Legal business name Beissel, Terence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 7th, 2021 - about 3 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 1679547905 NPPES
Illinois MEDICAID 36085494

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