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Contact Information

STEPHEN A BECKERMAN, OD
3241 S MICHIGAN AVE
CHICAGO, IL60616-4201
 Phone: 312-949-7280
 Fax: 312-949-7668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STEPHEN A BECKERMAN · (Male)

NPI Number 1376536888
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/30/2005
Last updated 08/27/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 046007612
  • IL Medicaid 046007612
  • IL Other 5689630001 DMERC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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