Provider Demographics
NPI:1689997926
Name:BEAL, JANE (BA, MA, PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:BEAL
Suffix:
Gender:F
Credentials:BA, MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 WHITCHURCH CT
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-7632
Mailing Address - Country:US
Mailing Address - Phone:530-304-1027
Mailing Address - Fax:
Practice Address - Street 1:1063 WHITCHURCH CT
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-7632
Practice Address - Country:US
Practice Address - Phone:530-304-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula