Individual
DR. JULIE LAVERDIERE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2614 PATRIOT BLVD, STE B, GLENVIEW, IL 60026
(847) 998-9992
(847) 998-9950
Mailing address
2614 PATRIOT BLVD, STE B, GLENVIEW, IL 60026
(847) 998-9992
(847) 998-9950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021001736
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019-022323
IL
Other
Enumeration date
07/25/2006
Last updated
04/26/2021
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