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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAD BEATY

Active

SHAD BEATY is a Pediatrics healthcare provider located in NORMAL, Illinois. NPI 1538241591 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · NORMAL, IL

Registration Details

NPI Number
1538241591
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.782566301568 yrs)
Last Updated
Oct 3, 2022
License
036-106215 (IL)

Practice Information

Address
2005 JACOBSSEN DR
NORMAL, IL, 617616287
Browse IL providers · Browse ZIP 61761
Phone
3093197360
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in NORMAL, IL

Name Credential NPI
DENNIS W CAPPITELLI DO 1114987450
DR. ANITA M. TILLMAN M.D. 1821016502
DR. KIMBERLY P. MARSHALL M.D. 1255353603
ADAM EBREO D.O. 1225144553
MOLLY LUNDY M.D. 1124349089
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.