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1104351410
DEREK BEATTY
PEORIA, IL
NPI
1104351410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036-160046)
Enumeration Date
2017-04-24
Last Update Date
2024-03-19
Business Address
Dr. DEREK BEATTY D.O.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7768
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Mailing Address
Dr. DEREK BEATTY D.O.
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272
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