SearchIllinois171WH0202X

John Beckwith

NPI 1386157618 · on the registry since 2017

Practice

Address
1508 W Anthony Dr
Champaign, IL 61821
Phone
(217) 359-5800
Fax
(217) 398-8901
Organisation at this address
Ccm Champaign County Mobility Ll
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171WH0202X
171WH0202X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois