Individual
DR. EUGENE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
71 MARY SENICA AVE, LA SALLE, IL 61301-9631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-096612
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-096612
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50024
BCBS NUMBER
FL
Enumeration date
06/06/2006
Last updated
10/30/2024
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