Michael Anthony Beal

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5540 W 111TH St
Oak Lawn, IL 60453-5574

Phone

(708) 634-0821

NPI assigned

Nov 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1780457572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9047 S DANTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197945",
            "telephone_number": "773-710-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535574",
            "telephone_number": "708-634-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Basta
• Asma Baste, M.H.S. SLP
• Sayida Baste, SLP
• Katlyn Christine Bauer, CPNP-AC
• Loleth Bautista
• Michael E Beck, MD SC
• Alaina Becker
• Kimberly Becker, PSY.D
• Lauren Becker, MD
• Stephanie Becker, MS OTR/L

• Behavior Technician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.