Stacey I. Becker PA

NPI 1457552507 - Physician Assistant - 363AS0400X

NPI Details
NPI 1457552507
Gender Female
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2650 RIDGE AVE
RM 4222
EVANSTON IL, 60201-1718, US
Phone (847) 570-1140
Fax (847) 570-1442
Business Location
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON IL, 60201-1718, US
Phone (847) 570-1206
Fax (847) 570-1248
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
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According to our database, Stacey I. Becker PA NPI is 1457552507, taxonomy code is 363AS0400X Stacey I. Becker PA physically located at 2650 Ridge Ave, Evanston IL, 60201-1718. NPI Number Stacey I. Becker PA has the Individual type.

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1457552507 NPI number is provided on an as is basis without warranty of any kind. 1457552507 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey I. Becker PA are for informational purposes only.