| Doctor Name: | DR. LAURA ANN BEAUMONT |
| NPI Number: | 1003005430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | |
| Business Practice Address: | 11801 Southwest Highway Ste 3 South Palos Heights, IL - 60463 |
| Business Phone Number: | 7089237400 |
| Business Fax Number: | 7089237409 |
| Mailing Address: | 11801 Southwest Highway, Ste 3 South PALOS HEIGHTS |
| State: | IL |
| Postal Code: | 60463 |
| Phone Number: | 7089237400 |
| Fax Number: | 7089237409 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |