Individual
TRACI P BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7159
(773) 296-7939
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7159
(773) 296-7939
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036-093212
IL
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
036-093212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036093212
—
IL
Enumeration date
12/21/2005
Last updated
10/01/2025
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