Organization
EUGENE BECKER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE BECKER MD (OWNER)
(847) 323-3811
Entity
Organization
Contact information
Practice address
925 WEST ST, PERU, IL 61354-2757
(815) 223-3300
Mailing address
PO BOX 631, LAKE FOREST, IL 60045-0631
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036096612
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036096612
IL
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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