NPIMap

Organization Active NPI

Beacon Therapeutic

  • Local Education Agency (LEA)
  • Chicago, IL
National Provider Identifier
1700927092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BEACON THERAPEUTIC
Practice address
1912 W 103Rd St
Chicago, IL 60643-2625
Phone
(773) 298-1243
Fax
(773) 298-1078
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel Washington
Title
Cfo
Phone
(773) 298-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1912 W 103Rd St
Chicago, IL 60643-2625

Mailing address

1912 W 103Rd St
Chicago, IL 60643-2625
Phone (773) 298-1243

National Provider Directory

National Provider Directory
Tax ID family
Beacon Therapeutic Diagnostic Treatment Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700927092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432625",
            "telephone_number": "773-298-1243",
            "fax_number": "773-298-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432625",
            "telephone_number": "773-298-1243",
            "fax_number": "773-298-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-298-1243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.