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Individual

JAMES EDWARD BECKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5318
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
036-087374
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036-087374
IL
2085R0202X
Diagnostic Radiology Physician
Primary
36-087374
IL
2085R0204X
Vascular & Interventional Radiology Physician
36-087374
IL
2085U0001X
Diagnostic Ultrasound Physician
36-087374
IL
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01621173
BC/BS
IL
05
036087374
IL
01
630001349
RR MED
IL
Enumeration date
07/18/2005
Last updated
03/04/2026
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