Active NPI
Beatrice Aguado, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lombard, IL
National Provider Identifier
1679623128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 125052045
- Practice address
- 1919 S Highland Ave
115C
Lombard, IL 60148-6153 - Phone
- (630) 639-6147
- NPI assigned
- Jan 10, 2007
- Last updated
- Apr 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 125052045 | IL | Primary |
Addresses
Primary practice location
1919 S Highland Ave
115C
Lombard, IL 60148-6153
Mailing address
1919 S Highland Ave
115C
Lombard, IL 60148-6153
Phone (630) 639-6147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125052045 | Other | IL | ILLINOIS MEDICAL LICENSE |
Other names 1
- Dr. Bea Aguado
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125052045 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302998400000",
"number": "1679623128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S HIGHLAND AVE",
"address_2": "115C",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486153",
"telephone_number": "630-639-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S HIGHLAND AVE",
"address_2": "115C",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486153",
"telephone_number": "630-639-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUADO",
"first_name": "BEATRICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2011-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "125052045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS MEDICAL LICENSE",
"identifier": "125052045",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEA",
"last_name": "AGUADO",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.