| Elizabeth Becerra, M.d.p.c. | |
|
6545 Cermak Rd Berwyn IL 60402-2313 | |
| (708) 652-2442 | |
| (708) 788-5620 |
| Full Name | Elizabeth Becerra, M.d.p.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6545 Cermak Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Elizabeth Becerra (PRESIDENT) |
| Authorized Official Contact | 7086522442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Becerra, M.d.p.c. 6545 Cermak Rd Berwyn IL 60402-2313 Ph: (708) 652-2442 | Elizabeth Becerra, M.d.p.c. 6545 Cermak Rd Berwyn IL 60402-2313 Ph: (708) 652-2442 |
| NPI Number | 1336326081 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 01/24/2008 |
| Medicare PECOS PAC ID | 5092898536 |
|---|---|
| Medicare Enrollment ID | O20080207000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336326081 | NPI | - | NPPES |
| 036093925-1 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
| Provider Name | Elizabeth Becerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376560102 PECOS PAC ID: 4789689803 Enrollment ID: I20060925000186 |
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