DR. LAURA ANN BEAUMONT PSYD NPI 1003005430

Psychologist (Clinical) in Palos Heights, IL

About LAURA BEAUMONT

Laura Beaumont is a provider in Palos Heights, IL with more than 23 years of experience. The NPI number assigned to this provider is 1003005430. The practitioner's primary taxonomy code is Psychologist (103TC0700X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Laura Beaumont is registered with Medicare and accepts claims assignment.

NPI1003005430 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. LAURA ANN BEAUMONT PSYD
Provider Location Address11801 SOUTHWEST HIGHWAY STE 3 SOUTH PALOS HEIGHTS, IL 60463 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address11801 SOUTHWEST HIGHWAY STE 3 SOUTH PALOS HEIGHTS, IL 60463 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1995
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-22-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-22-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. LAURA ANN BEAUMONT PSYD
11801 SOUTHWEST HIGHWAY
STE 3 SOUTH
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 923-7400
Fax: (708) 923-7409
Get Directions

Mailing Address

DR. LAURA ANN BEAUMONT PSYD
11801 SOUTHWEST HIGHWAY
STE 3 SOUTH
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 923-7400
Fax: (708) 923-7409

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
S42142MEDICARE UPIN (02)IL
201645MEDICARE PIN (08)

Map Location


DR. LAURA ANN BEAUMONT PSYD address is 11801 SOUTHWEST HIGHWAY STE 3 SOUTH PALOS HEIGHTS, IL 60463

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033197025DR LAURA A BEAUMONT
Organization
Psychologist (Clinical)11801 SOUTHWEST HIGHWAY STE 3 SOUTH
PALOS HEIGHTS, IL 60463
(708) 923-7400