Individual
HERBERT C BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01056674A
IN
207W00000X
Ophthalmology Physician
036-097526
IL
207W00000X
Ophthalmology Physician
Primary
053803
CT
207W00000X
Ophthalmology Physician
62936
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-097526
—
IL
01
—
053803
MEDICAL LICENSE
CT
05
—
300084341
—
IN
05
—
34175100
—
WI
01
—
35-2221760
FEDRAL TAX ID
IL
01
—
36-2534711
FEDRAL TAX ID
IL
01
—
CG9902
RAILROAD MEDICARE
IL
Enumeration date
04/24/2006
Last updated
12/11/2025
Update your record
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