Individual provider · Type 1 NPI

Maxwell W. Beardsley

Student in an Organized Health Care Education/Training Program · Naperville, IL

NPI number 1922631647 Active

Practice location

440 S Brainard St
Naperville, IL 60540-5448

Call (630) 637-5563 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922631647

Maxwell W. Beardsley's National Provider Identifier is 1922631647, issued on Feb 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Naperville, IL. The record was last updated on Feb 20, 2020.