Shad Beaty

NPI #1538241591 in Normal, Illinois

Provider Information

NPI Number: 1538241591
Entity Type: Individual
Name: Shad Beaty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Oct 19, 2006
Last Updated: Oct 3, 2022

Practice Location

Address: 2005 JACOBSSEN DR
City: Normal
State: Illinois
ZIP Code: 61761-6287
Phone: (309) 319-7360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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