BEVERLY BLACK

CHICAGO, IL
NPI1518647346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  151922)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041439265)
Enumeration Date2023-07-18
Last Update Date2024-11-12
Business Address
BEVERLY BLACK
5801 S ELLIS AVE
CHICAGO, IL 60637-5418
Phone number: 773-702-1234
Mailing Address
BEVERLY BLACK
1800 W ROSCOE ST APT 323
CHICAGO, IL 60657-1012
Phone number: 847-899-2234