IndividualActive
Kathleen Beavis
NPI 1689794075 · Clinical Pathology/Laboratory Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1689794075
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 036103230 (IL)
Mailing address
150 Harvester Dr
Burr Ridge, IL 60527-5919
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2022-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.