HEATHER BEALL (NPI# 1447202577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447202577 |
| Entity Type | Individual |
| Full Name | HEATHER BEALL |
| Credential | M.D. |
| Practice Address |
260 E Congress Pkwy Crystal Lake IL 60014 |
| Mailing Address |
260 E Congress Pkwy Crystal Lake IL 60014-6235 |
| Practice Telephone | 8154770300 |
| Mailing Telephone | 8154770300 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-109230 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036109230 | 05 | |
| IL | STATE LICENSE | 036109230 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4201 W Medical Center Dr, Mchenry, IL 600508409 | 8153445000 | |
| 10400 Haligus Rd, Huntley, IL 601429553 | 2246540000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124423157 | Heather Beall | Counselor | 602 Sw 38th St, Lawton, OK 73505-6912 | 2014-11-04 |
| Street Address |
260 E CONGRESS PKWY |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174574883 | Woman To Woman Obstetrics and Gynecology P C | Obstetrics & Gynecology | 260 E Congress Pkwy, Crystal Lake, IL 60014-6235 | 2006-05-15 |
| 1982969770 | Amanda Henry | Dentist | 260 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6235 | 2012-07-09 |
| 1396873675 | Kay Henry Dds | Dentist | 260 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6235 | 2007-03-01 |
| 1720115819 | Kay Henry | Dentist | 260 E Congress Pkwy, Suite C, Crystal Lake, IL 60014-6235 | 2007-02-27 |
| 1922047216 | Kathleen A Salus | Obstetrics & Gynecology | 260 E Congress Pkwy, Crystal Lake, IL 60014-6235 | 2006-06-05 |
| 1245281054 | Michele S Perlis | Obstetrics & Gynecology | 260 E Congress Pkwy, Crystal Lake, IL 60014 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992004279 | Boon R Charoenying | Obstetrics & Gynecology | 2805 Springbrook Rd, Crystal Lake, IL 60012-1122 | 2011-03-25 |
| 1285799627 | Mary T Riggs | Obstetrics & Gynecology | 750 E Terra Cotta Ave Ste B, Crystal Lake, IL 60014-3621 | 2006-12-26 |
| 1780635318 | Neelam R Gandhi | Obstetrics & Gynecology | 260 E Congress Pkwy Ste A, Crystal Lake, IL 60014 | 2006-05-16 |
| 1174574883 | Woman To Woman Obstetrics and Gynecology P C | Obstetrics & Gynecology | 260 E Congress Pkwy, Crystal Lake, IL 60014-6235 | 2006-05-15 |
| 1205821121 | Shannon Watley | Obstetrics & Gynecology | 360 Station Drive, 3rd Floor, Crystal Lake, IL 60014-6260 | 2005-09-16 |
| 1922047216 | Kathleen A Salus | Obstetrics & Gynecology | 260 E Congress Pkwy, Crystal Lake, IL 60014-6235 | 2006-06-05 |
| 1245281054 | Michele S Perlis | Obstetrics & Gynecology | 260 E Congress Pkwy, Crystal Lake, IL 60014 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.