Individual
DR. NASTANE LE BEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6225 S KENWOOD AVE APT 1S, CHICAGO, IL 60637-3766
(646) 431-0013
Mailing address
6225 S KENWOOD AVE APT 1S, CHICAGO, IL 60637-3766
(646) 431-0013
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036128617
IL
208M00000X
Hospitalist Physician
036128617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE GROUP PTAN
IL
Enumeration date
08/06/2008
Last updated
11/30/2018
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