BEVERLY L DECK (NPI# 1043308828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043308828 |
| Entity Type | Individual |
| Full Name | BEVERLY L DECK |
| Credential | M.D. |
| Practice Address |
7318 Madison St Forest Park IL 60130-3100 |
| Practice Telephone | 7085601960 |
| Mailing Telephone | 7085601960 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036087476 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036087476 | 05 | |
| IL | BLUE CROSS/ BLUE SHIELD | 0001636851 | 01 |
| Street Address |
7318 MADISON ST |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598719783 | Rigoberto Tapia | Pediatrics | 7318 Madison St, Suite #2, Forest Park, IL 60130-3100 | 2006-05-20 |
| 1639627540 | Mary Ann Bender Dpm Ltd | Podiatrist | 7318 Madison St, Suite 2, Forest Park, IL 60130-3100 | 2016-09-20 |
| 1639585128 | Royal Health Care Sc | Chiropractor | 7318 Madison St, Forest Park, IL 60130-3100 | 2014-07-07 |
| 1588960132 | Almansur Family Practice Services Ltd | Clinic/Center | 7318 Madison St, Forest Park, IL 60130-3100 | 2011-01-31 |
| 1528222353 | Tapia Medical Group, Ltd | Clinic/Center | 7318 Madison St, Suite #2, Forest Park, IL 60130-3100 | 2008-07-10 |
| 1144499369 | Advanced Dermatology Center, S.c. | Dermatology | 7318 Madison St, Forest Park, IL 60130-3100 | 2008-02-21 |
| 1043489263 | Advanced Urology Center, S.c. | Urology | 7318 Madison St, Forest Park, IL 60130-3100 | 2008-02-21 |
| 1477641280 | Whitec, Inc | General Practice | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-10-10 |
| 1487756474 | Bahir A Mansur | Family Medicine | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-09-01 |
| 1063451458 | Belmina Michael | Dermatology | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634648 | Vina Health Care Clinic Corporation | General Practice | 4487 Jonesboro Rd, Forest Park, GA 30297-4316 | 2006-01-21 |
| 1093977381 | Joseph S Leyva | General Practice | 4146 Jonesboro Rd, Forest Park, GA 30297-1038 | 2008-06-27 |
| 1841499761 | Oanh Xuan Dam | General Practice | 4487 Jonesboro Rd, Forest Park, GA 30297-4316 | 2007-07-11 |
| 1477641280 | Whitec, Inc | General Practice | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-10-10 |
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| 1306465786 | Brightlife Regenerative Medical Clinic Lombard Sc | General Practice | 442 E Roosevelt Rd, Lombard, IL 60148-4630 | 2020-04-15 |
| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
Please comment or provide details below to improve the information on BEVERLY L DECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.