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1316986839
RICHARD BEATY
EVERGREEN PARK, IL
NPI
1316986839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 36054433)
Enumeration Date
2006-06-06
Last Update Date
2013-06-05
Business Address
-- RICHARD BEATY D.O.
2850 W 95TH ST STE 406
EVERGREEN PARK, IL 60805-2790
Phone number: 708-873-3200
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Mailing Address
-- RICHARD BEATY D.O.
PO BOX 369
NEW LENOX, IL 60451-0369
Phone number: 815-463-0098
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