Provider Demographics
NPI:1992959076
Name:BEALS, CLAUDIA LYNN (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LYNN
Last Name:BEALS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 MAIN AVE
Mailing Address - Street 2:209
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-6167
Mailing Address - Country:US
Mailing Address - Phone:571-594-2251
Mailing Address - Fax:
Practice Address - Street 1:1507 E 53RD ST # 317
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4573
Practice Address - Country:US
Practice Address - Phone:312-978-2601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60939384207P00000X
IN01068489A207P00000X
MO2020015162207P00000X
NY239455207P00000X
NY239455-01207P00000X
WI67065-20207P00000X
IL036123381207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine