OrganizationActive
Beacon Therapeutic
NPI 1700927092 · Local Education Agency (LEA) · Chicago, IL
Provider details
- NPI number
- 1700927092
- Entity type
- Organization
- Primary specialty
- Local Education Agency (LEA)Agencies
- Authorized official
- Daniel Washington, Cfo
Practice location
1912 W 103rd St
Chicago, IL 60643-2625
Phone: (773) 298-1243
Fax: (773) 298-1078
Mailing address
1912 W 103rd St
Chicago, IL 60643-2625
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.