Individual
DR. STEPHEN A BECKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7280
(312) 949-7668
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7280
(312) 949-7668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007612
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007612
—
IL
01
—
5689630001
DMERC
IL
Enumeration date
08/30/2005
Last updated
08/27/2009
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