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-- MARY A BEAM -- CRNA

Individual Provider (NPI-1) Active

Nurse Anesthetist, Certified Registered

Provider Information

NPI Number
1093712002
Provider Type
Individual Provider (NPI-1)
Credentials
CRNA
Status
Active

Contact & Location

Address
1800 E LAKE SHORE DR, DECATUR, IL, 625213810
Phone
(217) 464-2729
Fax
(217) 464-1693

Specialties & Taxonomies

Nurse Anesthetist, Certified Registered Primary License: IL #209-000184

All Addresses

MAILING

236 S. 6TH STREET

RIVERTON, IL, 62561

(217) 629-7401

LOCATION

1800 E LAKE SHORE DR

DECATUR, IL, 625213810

(217) 464-2729