Robert J Becker Md Ltd | |
5201 Willow Springs Rd La Grange Highlands IL 60525-6537 | |
(708) 354-5631 | |
(708) 482-0106 |
Full Name | Robert J Becker Md Ltd |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 5201 Willow Springs Rd, La Grange Highlands, Illinois |
Authorized Official Name and Position | Jonathan S Becker (PRESIDENT) |
Authorized Official Contact | 7083545631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert J Becker Md Ltd 5201 Willow Springs Rd La Grange Highlands IL 60525-6537 Ph: (708) 354-5631 | Robert J Becker Md Ltd 5201 Willow Springs Rd La Grange Highlands IL 60525-6537 Ph: (708) 354-5631 |
NPI Number | 1609994987 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609994987 | NPI | - | NPPES |
036066423 | Other | IL | J. BECKER MD IL LICENSE # |
1992721898 | Other | IL | RICHARD BERTENSHAW MD NPI |
1609994987 | Other | IL | GROUP NPI |
21607143 | Other | IL | GROUP BLUE CROSS ID # |
C30167 | Other | IL | RAILROAD MEDICARE GROUP PTAN |
036074851 | Other | IL | R BERTENSHAW IL LICENSE # |
1821014721 | Other | IL | JONATHAN BECKER MD NPI# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036074851 (Illinois) | Primary |