Individual
DAWN B BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137-4464
(630) 469-9200
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036096750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005033
RR MEDICARE
IL
05
—
036096750
—
IL
Enumeration date
01/05/2006
Last updated
06/24/2008
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