Healthcare Provider Details

I. General information

NPI: 1801852314
Provider Name (Legal Business Name): HERBERT C BECKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HERB C BECKER MD

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

650 SPRING HILL RING RD
WEST DUNDEE IL
60118-1296
US

V. Phone/Fax

Practice location:
  • Phone: 860-837-9600
  • Fax: 830-837-9601
Mailing address:
  • Phone: 847-426-0227
  • Fax: 847-426-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number01056674A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number053803
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number62936
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036-097526
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: