Provider Demographics
NPI:1861402489
Name:BEHERY, ABEER G
Entity type:Individual
Prefix:MRS
First Name:ABEER
Middle Name:G
Last Name:BEHERY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ABEER
Other - Middle Name:G
Other - Last Name:BEHERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2307 JOSEPHINE CT
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7282
Mailing Address - Country:US
Mailing Address - Phone:847-397-6103
Mailing Address - Fax:847-397-6132
Practice Address - Street 1:2307 JOSEPHINE CT
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-7282
Practice Address - Country:US
Practice Address - Phone:847-397-6103
Practice Address - Fax:847-397-6132
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK33756Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER