STACEY I. BECKER

EVANSTON, IL
NPI1457552507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085-002026)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
-- STACEY I. BECKER PA
2650 RIDGE AVE RM 4222
EVANSTON, IL 60201-1718
Phone number: 847-570-1140
Mailing Address
-- STACEY I. BECKER PA
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206