Beverly L Deck
General Practice Physician
7318 Madison St
Forest Park
, Illinois 60130-3100
Beverly L Deck
General Practice Physician
7318 Madison St
Forest Park
, Illinois 60130-3100
(708) 560-1960
Write a Review Share Save Call
About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Beverly L Deck
- 7318 Madison St
- Forest Park, IL
- Zip : 60130-3100
- Phone : (708) 560-1960
Second Address
- Beverly L Deck
- 7318 Madison St
- Forest Park, IL
- Zip : 60130-3100
- Phone : (708) 560-1960
Reviews
FAQs
Where did Beverly L Deck attend graduate school?
Where did Beverly L Deck do her residency?
Where did Beverly L Deck do her fellowship?
Is Beverly L Deck board certified?
What type of doctor is Beverly L Deck
In what state does Beverly L Deck practice in?
Where is Beverly L Deck ’s practice located?
What is Beverly L Deck ’s gender?
Is Beverly L Deck a sole practitioner?
Is Beverly L Deck accepting new patients?
What languages does Beverly L Deck speak?
Does Beverly L Deck accept insurance?
Does Beverly L Deck offers telemedicine?
What is Beverly L Deck ’s professional license number?
What is Beverly L Deck ’s NPI number?
Does Beverly L Deck have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 036087476 | IL |
National Provider Identifier
| NPI | 1043308828 |
|---|---|
| Provider Name | Beverly L Deck |
| First Address | Forest Park, IL 60130-3100 |
| Second Address | Forest Park, IL 60130-3100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 24/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001636851 | BLUE CROSS/ BLUE SHIELD (01) | IL |
| 036087476 | (05) | IL |
| F72455 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.