Individual
CARLOS BECERRA-MENESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1127 N OAKLEY BLVD FL 3, CHICAGO, IL 60622-3507
(312) 770-3320
(312) 770-2557
Mailing address
1520 W HARRISON ST FL 7, CHICAGO, IL 60607-3106
(312) 942-4500
(312) 942-2380
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.030927
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2024
Last updated
10/30/2024
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