Organization Active NPI

Daniel Lee Beck, MD, SC

  • Medical Specialty Clinic/Center
  • Joliet, IL
National Provider Identifier
1144526161
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DANIEL LEE BECK, MD, SC
Practice address
310 N Hammes Ave
Suite 201
Joliet, IL 60435-8118
Phone
(815) 741-0070
Fax
(815) 741-0104
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Lee Beck, M.D.
Title
President/Owner
Phone
(815) 741-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

310 N Hammes Ave
Suite 201
Joliet, IL 60435-8118

Mailing address

310 N Hammes Ave
Suite 201
Joliet, IL 60435-8118
Phone (815) 741-0070

Other identifiers 1

IdentifierTypeStateIssuer
036071527MedicaidIL

National Provider Directory

National Provider Directory

Locations

310 N Hammes Ave
Ste 201
Joliet, IL 60435
Phone (815) 741-0070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1144526161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE",
            "address_2": "SUITE 201",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358118",
            "telephone_number": "815-741-0070",
            "fax_number": "815-741-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE",
            "address_2": "SUITE 201",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358118",
            "telephone_number": "815-741-0070",
            "fax_number": "815-741-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL LEE BECK, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-741-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071527",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.