Beck, Kenneth R

Beck, Kenneth R is an individual health care provider with primary practice located at 2225 Enterprise Dr Suite 2511, Westchester IL 60154-5814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Beck, Kenneth R can be contacted via phone (708) 486-0076.

Contact Information

Primary practice address
2225 Enterprise Dr Suite 2511 Westchester IL 60154-5814
Phone: (708) 486-0076
Fax: (708) 486-0080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 036-087177 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036087177 Illinois

Profile Details

NPI number 1326017484
LBN Legal business name Beck, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326017484 NPPES
Illinois Other 01635877 BLUE SHIELD
Illinois MEDICAID 0360871774 BLUE SHIELD
Illinois Other P00397046 BLUE SHIELD

Popular Providers