| Robert J Becker Md Ltd | |
|
5201 Willow Springs Rd La Grange Highlands IL 60525-6537 | |
| (708) 354-5631 | |
| (708) 482-0106 |
| Full Name | Robert J Becker Md Ltd |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 5201 Willow Springs Rd, La Grange Highlands, Illinois |
| Authorized Official Name and Position | Jonathan S Becker (PRESIDENT) |
| Authorized Official Contact | 7083545631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Becker Md Ltd 5201 Willow Springs Rd La Grange Highlands IL 60525-6537 Ph: (708) 354-5631 | Robert J Becker Md Ltd 5201 Willow Springs Rd La Grange Highlands IL 60525-6537 Ph: (708) 354-5631 |
| NPI Number | 1609994987 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609994987 | NPI | - | NPPES |
| 036066423 | Other | IL | J. BECKER MD IL LICENSE # |
| 1992721898 | Other | IL | RICHARD BERTENSHAW MD NPI |
| 1609994987 | Other | IL | GROUP NPI |
| 21607143 | Other | IL | GROUP BLUE CROSS ID # |
| C30167 | Other | IL | RAILROAD MEDICARE GROUP PTAN |
| 036074851 | Other | IL | R BERTENSHAW IL LICENSE # |
| 1821014721 | Other | IL | JONATHAN BECKER MD NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036074851 (Illinois) | Primary |
Advanced Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5201 Willow Springs Rd Ste 180, La Grange Highlands, IL 60525 Phone: 708-929-6099 Fax: 708-929-6169 |