Provider Demographics
NPI:1689640567
Name:KLADE, BEATRICE C (MD,)
Entity Type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:C
Last Name:KLADE
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Gender:F
Credentials:MD,
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Mailing Address - Street 1:10 MARTIN AVE
Mailing Address - Street 2:STE 225
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6535
Mailing Address - Country:US
Mailing Address - Phone:630-355-5633
Mailing Address - Fax:630-355-5215
Practice Address - Street 1:10 MARTIN AVE
Practice Address - Street 2:STE 225
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6535
Practice Address - Country:US
Practice Address - Phone:630-355-5633
Practice Address - Fax:630-355-5215
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2021-01-14
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Provider Licenses
StateLicense IDTaxonomies
IL036088627208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG25343Medicare UPIN