Basic Information
Provider Information
NPI: 1831294495
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SETRINI
FirstName: BEATRIZ
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 W HIGH ST
Address2:  
City: MORRIS
State: IL
PostalCode: 604501463
CountryCode: US
TelephoneNumber: 8159422932
FaxNumber: 8159423154
Practice Location
Address1: 150 W HIGH ST
Address2:  
City: MORRIS
State: IL
PostalCode: 604501463
CountryCode: US
TelephoneNumber: 8159422932
FaxNumber: 8159423154
Other Information
ProviderEnumerationDate: 09/14/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X ILY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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