Individual
DR. BRIAN W BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 E OGDEN AVE STE 115, NAPERVILLE, IL 60563-8610
(630) 717-8707
(630) 717-7603
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110711
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110711
—
IL
Enumeration date
05/09/2006
Last updated
08/03/2023
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