Becker Boris P Dds Pc

LBN: Becker Boris P Dds Pc
Becker Boris P Dds Pc is an health care organization with primary practice located at 214 Randall Rd , South Elgin IL 60177-2274. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Becker Boris P Dds Pc can be contacted via phone (847) 622-0400, or through Becker, Boris via phone (847) 622-0400.

Contact Information

Primary practice address
214 Randall Rd South Elgin IL 60177-2274
Fax: (847) 622-7818
Website:
Authorized official contact:
Name: Becker, Boris Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019025213 Illinois

Profile Details

NPI number 1821253931
LBN Legal business name Becker Boris P Dds Pc
DBA Doing business as
Authorized official Becker, Boris Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821253931 NPPES
Illinois MEDICAID 1004729

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