Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ethan Beaty

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1669381257

Ethan Beaty is a Psychiatric/Mental Health Registered Nurse in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (312) 942-5103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 041.506601 (IL)

Record details

NPI number1669381257
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

Other providers in Chicago