Individual
BETH ANNE SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 HOLLISTER DR, SUITE G-18, LIBERTYVILLE, IL 60048-5263
(847) 918-1462
(847) 968-4311
Mailing address
1800 HOLLISTER DR, SUITE G-18, LIBERTYVILLE, IL 60048-5263
(847) 918-1462
(847) 968-4311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036093223
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093223
—
IL
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
01
—
4923631
BCBS ID
IL
Enumeration date
12/14/2006
Last updated
09/02/2009
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