Organization
ELIZABETH BECERRA, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BECERRA M.D. (PRESIDENT)
(708) 652-2442
Entity
Organization
Contact information
Practice address
6545 CERMAK RD, BERWYN, IL 60402-2313
(708) 652-2442
(708) 788-5620
Mailing address
6545 CERMAK RD, BERWYN, IL 60402-2313
(708) 652-2442
(708) 788-5620
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093925-1
—
IL
Enumeration date
01/24/2008
Last updated
01/24/2008
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