# DR. BETTE L ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386612927
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036073436 | IL | Yes |
| 207W00000X | Ophthalmology Physician | BA0383757 | IL | — |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 03/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036073436 | — | IL |
| 01 | — | 1032096 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 205022193 | TRI-CARE | IL |
| 01 | — | 301724 | PERSONAL CARE | IL |
| 01 | — | 960582 | UNITED HEALTHCARE | IL |
