Traci P Beck is a Urology in Chicago, Illinois. Traci P Beck practices all healthcare services and medical treatments related to Urology. The NPI Number for Traci P Beck is 1710963749. The last update date is 2021-04-21.
Traci P Beck's current location address is 836 W Wellington Ave, Chicago, Illinois. You can contact this provider via phone number 7732967159 and fax number 7732967939. The mailing address for Traci P Beck is 836 W Wellington Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci P Beck |
|---|---|
| Address | 836 W Wellington Ave, Chicago, Illinois |
| Phone Number | 7732967159 |
| Fax Number | 7732967939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710963749 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
| Address | 836 W Wellington Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60657 |
| Phone Number | 7732967159 |
| Fax Number | 7732967939 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 036-093212 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36093212 | IL | -- | |
| 1621679 | IL | BCBS OF IL |
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What is the unique 10-digit identifier code issued to Traci P Beck by the Centers for Medicare & Medicaid Services?
The Traci P Beck has been assigned the NPI (National Provider Identifier) 1710963749 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Traci P Beck's facilities are geographically located?
The facilities of Traci P Beck are physically situated at the following location: 836 W Wellington Ave, Chicago, IL, 60657.
What is the Traci P Beck's area of specialization and corresponding taxonomy classification?
The Traci P Beck's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1710963749 to Traci P Beck?
The Traci P Beck received its 1710963749 assignment from the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the information regarding Traci P Beck most recently updated?
The details pertaining to the Traci P Beck, including its address, specialty, and other relevant information, were last refreshed on 2021-04-21.
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