Enrique Beckmann, MD PHD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Practice address

2929 S Ellis Ave
Michael Reese Hospital 1-KP
Chicago, IL 60616-3395

Phone

(312) 791-3110

Fax

(312) 328-7711

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Pathology Associates of Chicago LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Blue Island, IL
  • NPI 1861573727
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558453035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88487",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606801487",
            "telephone_number": "312-791-2000",
            "fax_number": "312-791-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S ELLIS AVE",
            "address_2": "MICHAEL REESE HOSPITAL 1-KP",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163395",
            "telephone_number": "312-791-3110",
            "fax_number": "312-328-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "ENRIQUE",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360593141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Beckman, LCPC
• Douglas Eugene Beckman, MD
• Loretta Beckman
• Nancy J Beckman, PH.D.
• Anna Katharina Beckmann, MD
• Mary Beckmen, LCSW
• Stephanie Beckner
• Sarah E Beckwith, MD
• Summer Renee Beckworth
• Becky Beaulieu Therapy PLLC

• Anatomic Pathology & Clinical Pathology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.