Active NPI
Beth Ledvora M.D. S.C.
- Psychiatry Physician
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036073475
- Legal business name
- BETH LEDVORA M.D. S.C.
- Practice address
- 7350 W College Dr Ste 106
Palos Heights, IL 60463-1188 - Phone
- (708) 361-5110
- Fax
- (708) 361-5305
- NPI assigned
- Jul 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Ledvora, M.D.
- Title
- President
- Phone
- (708) 361-5110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036073475 | IL | Primary |
Addresses
Primary practice location
7350 W College Dr Ste 106
Palos Heights, IL 60463-1188
Mailing address
7350 W College Dr Ste 106
Palos Heights, IL 60463-1188
Phone (708) 361-5110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7808 W College Dr
Ste 2
Palos Heights, IL 60463
Phone (708) 361-5110
7808 W College Dr
Ste 2W
Palos Heights, IL 60463
Phone (708) 361-5110
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Palos Heights, IL
- NPI 1104993161
-
- Psychiatry Physician
- Palos Heights, IL
- NPI 1427554682
-
- Clinical Psychologist
- Woodridge, IL
- NPI 1871639203
-
- Psychiatry Physician
- Orland Park, IL
- NPI 1447398870
-
- Specialist
- Palos Heights, IL
- NPI 1487780516
-
- Psychiatry Physician
- Oak Lawn, IL
- NPI 1710061486
-
- Mental Health Counselor
- Orland Park, IL
- NPI 1649390675
-
- Clinical Social Worker
- Palos Heights, IL
- NPI 1972235828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372636800000",
"number": "1003256462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 W COLLEGE DR STE 106",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631188",
"telephone_number": "708-361-5110",
"fax_number": "708-361-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 W COLLEGE DR STE 106",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631188",
"telephone_number": "708-361-5110",
"fax_number": "708-361-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH LEDVORA M.D. S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-01",
"last_updated": "2013-07-01",
"status": "A",
"authorized_official_last_name": "LEDVORA",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-361-5110",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036073475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.