Individual
BETHANY BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 383-3240
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036167517
IL
208600000X
Surgery Physician
H0094653
MD
Other
Enumeration date
05/09/2016
Last updated
03/29/2024
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