Sean Adam Beck, LPN
Individual provider Active NPI Licensed Practical Nurse · Marion, IL
NPI 1295973071 · NPPES record last updated Feb 1, 2009
Key facts
- NPI
- 1295973071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043103047 (IL)
- Practice address
- 2401 W Main St
Marion, IL 62959-1188 - Phone
- (618) 997-5311
- NPI assigned
- Feb 1, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043103047 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043103047 | IL | Yes |
Addresses
Primary practice location
2401 W Main St
Marion, IL 62959-1188
Mailing address
501 S 8TH St
Herrin, IL 62948-3919
Phone (618) 694-4290
Other providers in Marion, IL
- Ray G Bayer
- Aaron Paul Beard
- Hannah Beasley
- Jana Bebout
- Paige Beck
- Eugene Becker
- Tiffany Jean Becker
- Yash D Bedi
- Natalie Lynn Beem
- Kristin N Beers
All providers in Marion, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.