Beck, Traci P
Beck, Traci P is an individual health care provider with primary practice located at 836 W Wellington Ave , Chicago IL 60657-5147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Beck, Traci P can be contacted via phone (773) 296-7159.Contact Information
Primary practice address
836 W Wellington Ave
Chicago IL 60657-5147
Phone: (773) 296-7159
Fax: (773) 296-7939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036-093212 | Illinois |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 2088F0040X | 036-093212 | Illinois |
Profile Details
| NPI number | 1710963749 |
|---|---|
| LBN Legal business name | Beck, Traci P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Oct 1st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710963749 | NPPES |
| Illinois | Other | 01621679 | BCBS OF IL |
| Illinois | MEDICAID | 036093212 | BCBS OF IL |
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