Individual
BETHANY GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 282-0827
(309) 683-1003
Mailing address
6202 HARTFORD DR, PEKIN, IL 61554-9226
(309) 282-0827
(309) 683-1003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209003507
IL
Other
Enumeration date
03/14/2006
Last updated
02/07/2023
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