Individual
DR. GARY L BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.,D.C.
Contact information
Practice address
8200 JANES AVE, WOODRIDGE, IL 60517-4303
(630) 739-9292
(630) 739-9342
Mailing address
319 N WEBER RD, # 379, BOLINGBROOK, IL 60490-1569
(630) 739-9292
(630) 739-9342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007884
IL
171100000X
Acupuncturist
CERTIFICATE
IL
225700000X
Massage Therapist
4864
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002207311
BC/BS
IL
Enumeration date
07/11/2006
Last updated
01/29/2009
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