Active NPI
Vickie Becker, MD
- Internal Medicine Physician
- Robinson, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-067985
- Practice address
- 1101 N Allen St
Robinson, IL 62454-1168 - Phone
- (618) 546-5464
- Fax
- (618) 546-2634
- NPI assigned
- Jul 4, 2006
- Last updated
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-067985 | IL | Primary |
Addresses
Primary practice location
1101 N Allen St
Robinson, IL 62454-1168
Mailing address
1000 N Allen St
Robinson, IL 62454-1167
Phone (618) 546-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-067985 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest H PLLC | Internal Medicine | Current | Accepting new patients |
| Theoria Medical | Internal Medicine | Current | Accepting new patients |
| VHS of Illinois Inc | Internal Medicine | Past | Accepting new patients |
| Macneal Physicians Group LLC | Internal Medicine | Past | Accepting new patients |
Locations
471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550
600 Robinwood Dr
Robinson, IL 62454
Phone (618) 544-3192
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vanguard Medical Group
- Internal Medicine Physician
- Berwyn, IL
- NPI 1205024791
-
dba MacNeal Hospital
- Family Medicine Physician
- Berwyn, IL
- NPI 1124006705
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1396775433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N ALLEN ST",
"city": "ROBINSON",
"state": "IL",
"postal_code": "624541167",
"telephone_number": "618-546-5464",
"fax_number": "618-546-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N ALLEN ST",
"city": "ROBINSON",
"state": "IL",
"postal_code": "624541168",
"telephone_number": "618-546-5464",
"fax_number": "618-546-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "VICKIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-067985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robinson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.