Provider Demographics
NPI:1629060892
Name:BECKER, NORBERT M (MD)
Entity Type:Individual
Prefix:
First Name:NORBERT
Middle Name:M
Last Name:BECKER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:GENEVA EYE CLINIC LTD
Mailing Address - Street 2:1000 RANDALL ROAD, STE. 10
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134
Mailing Address - Country:US
Mailing Address - Phone:630-232-1282
Mailing Address - Fax:630-232-7011
Practice Address - Street 1:GENEVA EYE CLINIC LTD
Practice Address - Street 2:1000 RANDALL ROAD, STE. 10
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134
Practice Address - Country:US
Practice Address - Phone:630-232-1282
Practice Address - Fax:630-232-7011
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2020-01-03
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Provider Licenses
StateLicense IDTaxonomies
IL036-067101207WX0107X, 207WX0108X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036067101Medicaid
ILP01067Medicare ID - Type Unspecified
IL0244590001Medicare NSC
IL036067101Medicaid