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Individual
JOANNA E BETANCOURT
Active
Individual
JOANNA E BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036101829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101829
—
IL
01
—
05632081
BLUE CROSS BLUE SHIELD
IL
01
—
07100058
IL HEALTH CONNECT
IL
Enumeration date
07/11/2005
Last updated
02/03/2026
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