NPIMap

Organization Active NPI

Herbert C Becker Jr. MD, SC

  • Ophthalmology Physician
  • Tinley Park, IL
National Provider Identifier
1275930208
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036097526 Issued in IL
Legal business name
HERBERT C BECKER JR. MD, SC
Practice address
18210 La Grange Rd Ste 110
Tinley Park, IL 60487-7723
Phone
(630) 525-1918
NPI assigned
Nov 19, 2014
Last updated
Aug 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Authorized official

Name
Herbert C Becker Jr., MDNPI 1801852314
Title
Owner
Phone
(630) 525-1918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036097526 IL Primary

Addresses

Primary practice location

18210 La Grange Rd Ste 110
Tinley Park, IL 60487-7723

Mailing address

6785 Weaver Rd
Ste D
Rockford, IL 61114-8055

Other practice location 1

3626 E State St
Rockford, IL 61108-1916
Phone (630) 525-1918

Other practice location 2

4301 N Mulford Rd
Loves Park, IL 61111-6955
Phone (630) 525-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041202000310 IL Part B Supplier - Clinic/Group Practice 9931165917 Receives reassigned benefits from 1 practitioner
Practice locations: Rockford, IL; New Lenox, IL; Loves Park, IL; Joliet, IL; Elmhurst, IL; Elgin, IL; Aurora, IL; Kankakee, IL

National Provider Directory

National Provider Directory

Locations

4301 N Mulford Rd
Loves Park, IL 61111
Phone (815) 227-0077

3626 E State St
Rockford, IL 61108
Phone (630) 525-1918

18210 La Grange Rd
Ste 110
Tinley Park, IL 60487
Phone (708) 428-2500

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1275930208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 WEAVER RD",
            "address_2": "STE D",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD STE 110",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877723",
            "telephone_number": "630-525-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3626 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611081916",
            "country_code": "US",
            "telephone_number": "630-525-1918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 N Mulford Rd",
            "address_purpose": "LOCATION",
            "city": "Loves Park",
            "state": "IL",
            "postal_code": "611116955",
            "country_code": "US",
            "telephone_number": "630-525-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERBERT C BECKER JR. MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-525-1918",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036097526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.