MS. DAVENA JANEEN BEAL (NPI# 1407391212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407391212 |
| Entity Type | Individual |
| Full Name | MS. DAVENA JANEEN BEAL |
| Credential | PMH-NP |
| Practice Address |
2340 S Highland Ave Suite 300 Lombard IL 60148-5371 |
| Mailing Address |
5747 W Warwick Ave Chicago IL 60634-2658 |
| Practice Telephone | 6302611210 |
| Practice Fax Number | 6302611211 |
| Mailing Telephone | 7733327145 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.015353 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2340 S HIGHLAND AVE SUITE 300 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939323 | Gregory C Castello | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2005-11-16 |
| 1992247084 | Othman Orthodontics Inc | Dentist | 2340 S Highland Ave, Ste 310, Lombard, IL 60148-5371 | 2016-11-07 |
| 1811356215 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 2340 S Highland Ave, Lombard, IL 60148-5371 | 2016-02-15 |
| 1265858013 | Marian Glenn | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2014-03-17 |
| 1033542535 | Adventist Health Partners, Inc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-08-20 |
| 1063852895 | Amazehealth Weight Loss & Wellness, Sc | Family Medicine | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2013-06-25 |
| 1629415757 | Dr. Nicole Kott Ltd | Dentist | 2340 S Highland Ave, Suite 320, Lombard, IL 60148-5371 | 2013-05-30 |
| 1811266026 | Erin Valentino | Physician Assistant | 2340 S Highland Ave, Ste 370, Lombard, IL 60148-5371 | 2011-12-16 |
| 1649567231 | Fazal Ahmed Md PC | Psychologist | 2340 S Highland Ave, Suite 370, Lombard, IL 60148-5371 | 2011-07-01 |
| 1588954150 | Usrc Advanced Home Therapies LLC | Clinic/Center | 2340 S Highland Ave, Ste 160, Lombard, IL 60148-5371 | 2011-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124432497 | Erin Petrusic | Nurse Practitioner | 2340 S. Highland Ave, Comprehensive Clinical Services, 300, Lombard, IL 60148 | 2014-06-16 |
| 1265858013 | Marian Glenn | Nurse Practitioner | 2340 S Highland Ave, Suite 300, Lombard, IL 60148-5371 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384451 | Ghea Tiping Degillo | Nurse Practitioner | 4711 Golf Rd Ste 500, Skokie, IL 60076-1208 | 2020-10-22 |
| 1750989620 | Rodney J Pena Jr. | Nurse Practitioner | 1362 Trotters Ln, Bourbonnais, IL 60914-4519 | 2020-10-13 |
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1497369672 | Mojisola Abayemi Akinfe | Nurse Practitioner | 8572 Stone Creek Blvd, Frankfort, IL 60423-9338 | 2020-09-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.