Individual
MR. SEAN ADAM BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
501 S 8TH ST, HERRIN, IL 62948-3919
(618) 694-4290
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043103047
IL
Other
Enumeration date
02/01/2009
Last updated
02/01/2009
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