Individual
M. HYTHAM BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5411
Mailing address
200E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
036068405
IL
208600000X
Surgery Physician
01062551A
IN
208600000X
Surgery Physician
Primary
036068405
IL
208D00000X
General Practice Physician
036068405
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
'000000680106
ANTHEM
IN
05
—
200829530
—
IN
01
—
P00900293
RAILROAD
IN
Enumeration date
02/02/2006
Last updated
10/04/2024
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