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Organization
SCOTT A & CHRISTINE M BECKER
Active
Organization
SCOTT A & CHRISTINE M BECKER
Active
Other names
Associated Back Care
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A BECKER (CO-OWNER)
(217) 875-7388
Entity
Organization
Contact information
Practice address
3419 N WOODFORD ST, DECATUR, IL 62526-2839
(217) 875-7388
(217) 875-7388
Mailing address
3419 N WOODFORD ST, DECATUR, IL 62526-2839
(217) 875-7388
(217) 875-7388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003978
IL
111N00000X
Chiropractor
038004228
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5815174
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/03/2008
Last updated
03/06/2017
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