Individual
BRYAN N BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-7594
(773) 702-1150
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9885
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036126604
IL
207RN0300X
Nephrology Physician
38681
WI
Other
Enumeration date
03/02/2006
Last updated
04/21/2015
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