Individual
BRETT CHARLES BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1491 MERCHANT DR, ALGONQUIN, IL 60102
(847) 458-1620
(847) 458-1694
Mailing address
1491 MERCHANT DRIVE, ALGONQUIN, IL 60102
(847) 458-1620
(847) 458-1694
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532031
BCBS
IL
Enumeration date
09/29/2006
Last updated
07/08/2007
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