Provider Demographics
NPI:1023885308
Name:DEFRANCO, BEATRICE (LMT)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:DEFRANCO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 LAKE ST.
Mailing Address - Street 2:#106
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1734
Mailing Address - Country:US
Mailing Address - Phone:708-860-1881
Mailing Address - Fax:
Practice Address - Street 1:7777 LAKE ST.
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1734
Practice Address - Country:US
Practice Address - Phone:708-860-1881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.015376172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist