Basic Information
| Provider Information | |||||||||
| NPI: | 1992146898 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGEL | ||||||||
| FirstName: | BETH | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1120 N LASALLE STREET | ||||||||
| Address2: | 7E | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6303798711 | ||||||||
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| Practice Location | |||||||||
| Address1: | 737 N MICHIGAN AVE | ||||||||
| Address2: | SUITE 950 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606112615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3127517515 | ||||||||
| FaxNumber: | 3127511208 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2013 | ||||||||
| LastUpdateDate: | 07/09/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 209.010376 | IL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.