Shad Beaty
Shad Beaty is a Pediatric Medicine in Normal, Illinois. Qualified in 1999, 27 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 27
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2005 Jacobssen DrNormal, IL 61761-6287
Phone: (309) 319-7360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 036-106215 (IL) |
|---|
Record details
| NPI number | 1538241591 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | Po Box 19248, Springfield, IL 62794-9248 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Springfield Clinic, Llp — 679 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Normal
-
Dennis W Cappitelli, DO
College And University 2540, Normal, IL 61790-2540 · (309) 438-2956
-
Adam Ebreo, DO
1302 Franklin Ave Ste 1100, Normal, IL 61761-3551 · (309) 268-2727
-
Molly Lundy, MD
2005 Jacobssen Dr, Normal, IL 61761-6287 · (309) 319-7360
-
Dr. Kimberly P. Marshall, MD
1302 Franklin Ave Ste 2500, Normal, IL 61761-6526 · (309) 268-2727