Provider Demographics
NPI:1316076714
Name:PEDIATRIC CARE P.C.
Entity type:Organization
Organization Name:PEDIATRIC CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BECKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-382-7337
Mailing Address - Street 1:27790 W IL ROUTE 22
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2340
Mailing Address - Country:US
Mailing Address - Phone:847-382-7337
Mailing Address - Fax:847-382-7377
Practice Address - Street 1:27790 W IL ROUTE 22
Practice Address - Street 2:SUITE 7
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2340
Practice Address - Country:US
Practice Address - Phone:847-382-7337
Practice Address - Fax:847-382-7377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty