Provider Demographics
NPI:1336312230
Name:MARAIZU, BEATRICE U (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:U
Last Name:MARAIZU
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417
Mailing Address - Country:US
Mailing Address - Phone:708-367-1300
Mailing Address - Fax:708-367-1311
Practice Address - Street 1:1299 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417
Practice Address - Country:US
Practice Address - Phone:708-367-1300
Practice Address - Fax:708-367-1311
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse