Provider Demographics
NPI:1205040128
Name:BECK, JILL CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:CATHERINE
Last Name:BECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982168 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-2168
Mailing Address - Country:US
Mailing Address - Phone:402-559-7257
Mailing Address - Fax:402-559-6782
Practice Address - Street 1:982168 NEBRASKA MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2168
Practice Address - Country:US
Practice Address - Phone:402-559-7257
Practice Address - Fax:402-559-6782
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.008420208000000X
NE256622080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics