Active NPI
Beverly Early
- Prosthetics Case Management
- Willowbrook, IL
National Provider Identifier
1326502576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 16W472 Honeysuckle Rose LN Apt 112
Willowbrook, IL 60527-6751 - Phone
- (630) 286-3032
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
16W472 Honeysuckle Rose LN Apt 112
Willowbrook, IL 60527-6751
Mailing address
16W472 Honeysuckle Rose LN Apt 112
Willowbrook, IL 60527-6751
Phone (630) 286-3032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-2687491 | Other | IL | CRANIAL PROSTHESIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1326502576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16W472 HONEYSUCKLE ROSE LN APT 112",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605276751",
"telephone_number": "630-286-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16W472 HONEYSUCKLE ROSE LN APT 112",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605276751",
"telephone_number": "630-286-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLY",
"first_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRANIAL PROSTHESIS",
"identifier": "83-2687491",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.