Lorelle Beaugard
Individual provider Active NPI Developmental Therapist · Park Forest, IL
NPI 1801088091 · NPPES record last updated Aug 13, 2007
Key facts
- NPI
- 1801088091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 211 Grant St
Park Forest, IL 60466-1013 - Phone
- (708) 748-3382
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
211 Grant St
Park Forest, IL 60466-1013
Mailing address
211 Grant St
Park Forest, IL 60466-1013
Phone (708) 748-3382
Other providers in Park Forest, IL
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- Katherine Balmaseda
- Kelly Nicole Banaszak
- Connie S Banks
- Ruth A Bartman
- Jada Carol Bell
- Luisito Perez Benin
- Blackbag Home Physician Service LLC
- Bombeau Lux, LLC
- Sandra Dionne Brand
All providers in Park Forest, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2007. 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.