Organization
DANIEL LEE BECK, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEE BECK M.D. (PRESIDENT/OWNER)
(815) 741-0070
Entity
Organization
Contact information
Practice address
310 N HAMMES AVE, SUITE 201, JOLIET, IL 60435-8118
(815) 741-0070
(815) 741-0104
Mailing address
310 N HAMMES AVE, SUITE 201, JOLIET, IL 60435-8118
(815) 741-0070
(815) 741-0104
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071527
—
IL
Enumeration date
02/09/2011
Last updated
02/09/2011
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