NPI 1124590328

Kanahi Beathea, CNA

Practitioner Case Manager/Care Coordinator East Dundee, IL

Practice location

Address: 455 E Main St, East Dundee, IL 60118-1529
Phone: (847) 428-2273
Fax: (847) 428-3128
Mailing address: 2200 S Main St STE 309, Lombard, IL 60148-5366

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1124590328
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2018
Record last updated: 28 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.