Look up the most recent NPI and PECOS records

Drs Beamer Carlon Craigen Sc

Family Medicine

Allopathic & Osteopathic Physicians

1011 Lake St, Suite 300, Oak Park, IL 60301-1148

PECOS Enrollment

Based on the most recent information from CMS, provider Drs Beamer Carlon Craigen Sc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1497790505
Provider Type
Organization
Full Name
Drs Beamer Carlon Craigen Sc

Subpart
No
Enumeration Date
6/20/2006
Last Updated
1/9/2008

Contact Information

Practice Location

1011 Lake St, Suite 300, Oak Park, IL 60301-1148

(708) 628-0600

(708) 628-0608

Mailing Location

1011 W Lake St, Suite 300, Oak Park, IL 60301-1148

(708) 628-0600

(708) 628-0608

Authorized Official

Beamer, Emily K (Secretary)

(708) 628-0600

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Illinois
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Illinois
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer Illinois
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer Illinois

Provider Identifiers

ID	Description	Issuer
ID 1634566	Description Other	Issuer BCBS PROVIDER ID Illinois
ID DC8910	Description Other	Issuer RAILROAD MEDICARE Illinois

Drs Beamer Carlon Craigen Sc

PECOS Enrollment

Profile Details

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