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Individual

DR. SCOTT A BECKER

Active
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Individual

DR. SCOTT A BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, FACO

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003978
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038003978
—
IL
01
—
5845669
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
07/28/2005
Last updated
02/28/2017
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