Provider Demographics
NPI:1275623233
Name:STYKA, BEATA (MD)
Entity Type:Individual
Prefix:DR
First Name:BEATA
Middle Name:
Last Name:STYKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12130 S HARLEM AVE
Mailing Address - Street 2:STE B
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1458
Mailing Address - Country:US
Mailing Address - Phone:708-448-5500
Mailing Address - Fax:708-448-5501
Practice Address - Street 1:12130 S HARLEM AVE
Practice Address - Street 2:STE B
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1458
Practice Address - Country:US
Practice Address - Phone:708-448-5500
Practice Address - Fax:708-448-5501
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036100524207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01637273OtherBCBS PIN
IL01637273OtherBCBS PIN