Aida Beckerly, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036134095 Issued in IL

Practice address

680 N Lake Shore Dr
Suite 1040
Chicago, IL 60611-4546

Phone

(773) 554-6055

Fax

(844) 258-5611

NPI assigned

Feb 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1578560090
  Medicare reassignment NPD
• Gold Coast Osteopathic, PSC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1568816254
  NPD (past) Authorized official
• Gold Coast Osteopathic, PSC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Chicago, IL
  • NPI 1750733788

  Family Medicine

  NPD (past) Authorized official
• Friend Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1477175305
  NPD
• Friend Family Health Center, Inc

  • Community Health Worker
  • Chicago, IL
  • NPI 1215394895
  NPD

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1508188111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1040",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "773-554-6055",
            "fax_number": "844-258-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1040",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "773-554-6055",
            "fax_number": "844-258-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKERLY",
        "first_name": "AIDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "243290",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036134095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Becker, PA-C
• Nicole Amber Becker, RD, LDN
• Richard Becker, D.D.S
• Sasha Becker
• Stephen Philip Becker, M.D,
• Rena Beckerly, M.D.
• Elana Beckerman, M.D.
• Stephen A Beckerman, OD
• Noa Beckham-Chasnoff
• Victoria Jean Becklen, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.

Verify at the official NPI Registry.