Organization
BRETT BECKER DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT C BECKER DPM (VICE PRESIDENT)
(847) 458-1620
Entity
Organization
Contact information
Practice address
1491 MERCHANT DRIVE, ALGONQUIN, IL 60102
(847) 458-1620
(847) 458-1694
Mailing address
1491 MERCHANT DRIVE, ALGONQUIN, IL 60102
(847) 458-1620
(847) 458-1694
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003984
—
IL
01
—
04532031
BCBS
IL
Enumeration date
01/17/2007
Last updated
05/25/2012
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