BRETT BECKER DPM INC NPI 1104978303

NPI Information

  • NPI: 1104978303
  • Provider Name: BRETT BECKER DPM INC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1491 MERCHANT DRIVE
    ALGONQUIN, IL
    ZIP 60102
  • Phone: (847) 458-1620

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NPI Details

BRETT BECKER DPM INC is a podiatrist in Algonquin, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRETT BECKER DPM INC NPI is 1104978303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1491 MERCHANT DRIVE
ALGONQUIN, IL
ZIP 60102
Phone: (847) 458-1620
Fax: (847) 458-1694

The provider's authorized official is Brett C Becker .
The authorized official title is Vice President and has the following contact phone number (847) 458-1620.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 5/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016003984ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T39052MEDICARE UPIN
204532031OTHERILLINOISBCBS
3206720MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4016003984MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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