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 |
| 1 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | 036074851 | ILLINOIS | Yes |
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 |
| 1 | 036066423 | OTHER | ILLINOIS | J. BECKER MD IL LICENSE # |
| 2 | 962350 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | GROUP MEDICARE ID NUMBER |
| 3 | 1821014721 | OTHER | ILLINOIS | JONATHAN BECKER MD NPI# |
| 4 | C30167 | OTHER | ILLINOIS | RAILROAD MEDICARE GROUP PTAN |
| 5 | 1992721898 | OTHER | ILLINOIS | RICHARD BERTENSHAW MD NPI |
| 6 | L18970 | MEDICARE PIN | ILLINOIS | |
| 7 | 1609994987 | OTHER | ILLINOIS | GROUP NPI |
| 8 | 21607143 | OTHER | ILLINOIS | GROUP BLUE CROSS ID # |
| 9 | 036074851 | OTHER | ILLINOIS | R BERTENSHAW IL LICENSE # |
| 10 | F22850 | MEDICARE UPIN | ILLINOIS | |
| 11 | E94406 | MEDICARE UPIN | ILLINOIS | |
| 12 | L19897 | MEDICARE PIN | ILLINOIS | |
