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1457552507
STACEY I. BECKER
EVANSTON, IL
NPI
1457552507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085-002026)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
-- STACEY I. BECKER PA
2650 RIDGE AVE RM 4222
EVANSTON, IL 60201-1718
Phone number: 847-570-1140
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Mailing Address
-- STACEY I. BECKER PA
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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