Individual
EMILY MICHELLE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N MICHIGAN AVE, CHICAGO, IL 60602-3402
(815) 744-8554
(630) 495-1770
Mailing address
2 CARLSON PKWY N STE 240, PLYMOUTH, MN 55447-4485
(763) 746-0030
(763) 367-7977
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036147755
IL
207N00000X
Dermatology Physician
2017014408
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA6511005
—
MO
Enumeration date
06/26/2013
Last updated
02/24/2020
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