SearchIllinois208000000X

Jason Becker

NPI 1922215920 · on the registry since 2007

Practice

Address
2900 N Knoxville Ave
Peoria, IL 61603
Phone
(309) 688-3616
Fax
(309) 687-3370
Clinicians at this address
5

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-10

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