Robert J Becker MD LTD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036074851 Issued in IL

Legal business name

ROBERT J BECKER MD LTD

Practice address

5201 Willow Springs Rd
La Grange Highlands, IL 60525-6537

Phone

(708) 354-5631

Fax

(708) 482-0106

NPI assigned

Mar 26, 2007

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan S Becker, M.D.

Title

President

Phone

(708) 354-5631

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1609994987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-354-5631",
            "fax_number": "708-482-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-354-5631",
            "fax_number": "708-482-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J BECKER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-354-5631",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036074851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RICHARD BERTENSHAW MD NPI",
            "identifier": "1992721898",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE CROSS ID #",
            "identifier": "21607143",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J. BECKER MD IL LICENSE #",
            "identifier": "036066423",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JONATHAN BECKER MD NPI#",
            "identifier": "1821014721",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "C30167",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1609994987",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R BERTENSHAW IL LICENSE #",
            "identifier": "036074851",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sohail Qamar, CSA
• Erin Radosevich, NP
• Osama A Ramsey, M.D.
• John A Rennau
• Richard Ribar Jr.
• Scott Duncan Robertson, DO
• Carol P Rodgers, NP
• Evelyn Rodriguez, M.D.
• Emily Ann Loutfy Royce, APRN, FNP-BC
• Jordan Rushing, MD

• Endocrinology, Diabetes & Metabolism Physician in La Grange Highlands, IL
• Providers in La Grange Highlands, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.