Ledvora, Beth

Ledvora, Beth is an individual health care provider with primary practice located at 7808 W College Dr Ste 2W , Palos Heights IL 60463-1098. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ledvora, Beth can be contacted via phone (708) 361-5110.

Contact Information

Primary practice address
7808 W College Dr Ste 2W Palos Heights IL 60463-1098
Fax: (708) 361-5305
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-073475 Illinois

Profile Details

NPI number 1104993161
LBN Legal business name Ledvora, Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated May 14th, 2024 - about 7 months 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 1104993161 NPPES
Illinois MEDICAID 036073475

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