Organization Active NPI

Julie Laverdiere Beck DDS, LTD.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Glenview, IL
National Provider Identifier
1730388091
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
JULIE LAVERDIERE BECK DDS, LTD.
Practice address
2614 Patriot Blvd
Suite B
Glenview, IL 60026-8024
Phone
(847) 998-9992
Fax
(847) 998-9950
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Dr. Julie A Laverdiere Beck, DDS
Title
President/Owner
Phone
(847) 998-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X IL Primary

Addresses

Primary practice location

2614 Patriot Blvd
Suite B
Glenview, IL 60026-8024

Mailing address

2614 Patriot Blvd
Suite B
Glenview, IL 60026-8024
Phone (847) 998-9992

Other names 1

  • Oral Surgery of the Glen Other name

National Provider Directory

National Provider Directory

Locations

2614 Patriot Blvd
#B
Glenview, IL 60026
Phone (847) 998-9992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1730388091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 PATRIOT BLVD",
            "address_2": "SUITE B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-998-9992",
            "fax_number": "847-998-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 PATRIOT BLVD",
            "address_2": "SUITE B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-998-9992",
            "fax_number": "847-998-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE LAVERDIERE BECK DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "LAVERDIERE BECK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-998-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery of the Glen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.