Beckett, James Edward

Beckett, James Edward is an sole proprietor health care provider with primary practice located at 326 W 64Th St St Bernard Hospital Dept Radiology, Chicago IL 60621-3114. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Suppliers / Durable Medical Equipment & Medical Supplies, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Beckett, James Edward can be contacted via phone (773) 962-4030.

Contact Information

Primary practice address
326 W 64Th St St Bernard Hospital Dept Radiology Chicago IL 60621-3114
Phone: (773) 962-4030
Fax: (773) 962-4399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 036-087374 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 36-087374 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 36-087374 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36-087374 Illinois

Profile Details

NPI number 1992704381
LBN Legal business name Beckett, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Mar 23rd, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992704381 NPPES
Illinois MEDICAID 036087374
Illinois Other 630001349
Illinois Other 01621173

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