Kanahi Beathea, CNA
Individual provider Active NPI Case Manager/Care Coordinator · East Dundee, IL
NPI 1124590328 · NPPES record last updated Dec 28, 2018
Key facts
- NPI
- 1124590328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 455 E Main St
East Dundee, IL 60118-1529 - Phone
- (847) 428-2273
- Fax
- (847) 428-3128
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
455 E Main St
East Dundee, IL 60118-1529
Mailing address
2200 S Main St Ste 309
Lombard, IL 60148-5366
Phone (847) 656-8288
Other providers in East Dundee, IL
- Faiza A Ahmed
- Farzeen Anwar
- Aquatic Therapy and Wellness P.C.
- Ena Arroyo
- Aunt Martha'S Youth Service Center
- Nikkia Jeanique Bell
- Kinjal Bhatt
- Lucinda Arlene Birkhead
- Tanya Bratko
- Alan James Brongiel
All providers in East Dundee, IL · Case Manager/Care Coordinator in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.