MEDICARE: DR. WILLIAM F BECK D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19A13724	IL

General Provider Information

NPI Number	:	1609996875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM F BECK D.D.S.

Provider Business Mailing Address
First Line	:	5 E CAMP MCDONALD RD
Second Line	:
City	:	PROSPECT HEIGHTS
State	:	IL
Zip	:	60070-1527
Country	:	US
Telephone Number	:	847-392-3800
Fax Number	:	847-392-0217

Provider Business Practice Location Address
First Line	:	5 E CAMP MCDONALD RD
Second Line	:
City	:	PROSPECT HEIGHTS
State	:	IL
Zip	:	60070-1527
Country	:	US
Telephone Number	:	847-392-3800
Fax Number	:	847-392-0217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	07/08/2007

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