Individual
BETHANY PAGE BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
(312) 996-2933
Mailing address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.084571
IL
2083X0100X
Occupational Medicine Physician
Primary
125.084571
IL
Other
Enumeration date
03/27/2024
Last updated
04/02/2026
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