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NPI Code Detail

MEDICARE: BECKER FAMILY MEDICINE SC

MEDICARE: BECKER FAMILY MEDICINE SC
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
1207Q00000XFamily Medicine PhysicianIL

General Provider Information

NPI Number : 1578591939
Entity Type Code : Organization
Provider Name (Legal Business Name) : BECKER FAMILY MEDICINE SC
Provider Business Mailing Address
First Line : 181 S LINCOLNWAY
Second Line :
City : NORTH AURORA
State : IL
Zip : 60542-1609
Country : US
Telephone Number : 630-552-9046
Fax Number : 630-552-9074
Provider Business Practice Location Address
First Line : 181 S LINCOLNWAY
Second Line :
City : NORTH AURORA
State : IL
Zip : 60542-1609
Country : US
Telephone Number : 630-552-9046
Fax Number : 630-552-9074
Authorized Official
Title or Position : PRESIDENT
Name : BRIAN W BECKER
Credential : MD
Telephone Number : 630-552-9046
Provider Enumeration Date : 06/28/2006
Last Update Date : 08/22/2020

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Directions to “BECKER FAMILY MEDICINE SC ” Practice Location

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