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1801852314

NPI Code Detail

MEDICARE: HERBERT C BECKER MD

MEDICARE: HERBERT C BECKER MD

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	207W00000X	Ophthalmology Physician	01056674A	IN
2	207W00000X	Ophthalmology Physician	053803	CT
3	207W00000X	Ophthalmology Physician	62936	WI
4	207W00000X	Ophthalmology Physician	036-097526	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CG9902	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36-2534711	OTHER	IL	FEDRAL TAX ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	053803	OTHER	CT	MEDICAL LICENSE
7	35-2221760	OTHER	IL	FEDRAL TAX ID

General Provider Information

NPI Number	:	1801852314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT C BECKER MD

Provider Business Mailing Address
First Line	:	650 SPRING HILL RING RD
Second Line	:
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-1296
Country	:	US
Telephone Number	:	847-426-0227
Fax Number	:	847-426-0299

Provider Business Practice Location Address
First Line	:	282 WASHINGTON ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06106-3322
Country	:	US
Telephone Number	:	860-837-9600
Fax Number	:	830-837-9601

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	12/11/2025

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Directions to “ HERBERT C BECKER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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