Deck, Beverly L
Deck, Beverly L is an sole proprietor health care provider with primary practice located at 7318 Madison St , Forest Park IL 60130-3100. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Deck, Beverly L can be contacted via phone (708) 560-1960.Contact Information
Primary practice address
7318 Madison St
Forest Park IL 60130-3100
Phone: (708) 560-1960
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036087476 | Illinois |
Profile Details
NPI number | 1043308828 |
---|---|
LBN Legal business name | Deck, Beverly L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2006 |
Last updated | Jun 24th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043308828 | NPPES |
Illinois | Other | 0001636851 | BLUE CROSS/ BLUE SHIELD |
Illinois | MEDICAID | 036087476 | BLUE CROSS/ BLUE SHIELD |
Popular Providers
-
Barthwell, Andrea Grubb
610 S Maple Ave Suite 3400, Oak Park IL 60304-1091 -
Sidharthan, Shawn
1775 Dempster St , Park Ridge IL 60068-1143 -
Lawrence, Arthur Gene
522 Jackson Ave , River Forest IL 60305-1804 -
Chu, Wen Genn
15620 Narcissus Ln , Orland Park IL 60462-5016 -
Cruz, Antonio B
1601 Tanglewood Suite 106, Hanover Park IL 60133 -
Batol-Del Rosario, Alice
15390 Raintree Dr , Orland Park IL 60462-6750 -
Ginde, Hemant Vithal
8051 186Th St # A, Tinley Park IL 60487-9341 -
Engel, Susan Lee
1026 N Knight Ave , Park Ridge IL 60068-1919