Individual
DR. BETHANY L BITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9128 N LINDBERGH DR, PEORIA, IL 61615-1422
(309) 323-6068
(217) 606-3068
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036130978
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036130978
PHYSICIAN LICENSE NUMBER
IL
Enumeration date
06/08/2009
Last updated
02/03/2023
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