Individual
DR. AIDA BECKERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1040, CHICAGO, IL 60611-4546
(773) 554-6055
(844) 258-5611
Mailing address
680 N LAKE SHORE DR, SUITE 1040, CHICAGO, IL 60611-4546
(773) 554-6055
(844) 258-5611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036134095
IL
207Q00000X
Family Medicine Physician
243290
NY
Other
Enumeration date
02/23/2010
Last updated
11/08/2016
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