Individual
CATHERINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4600 MEMORIAL DR, SUITE 200, BELLEVILLE, IL 62226-5368
(618) 233-2220
(618) 233-2555
Mailing address
4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL CREDENTIALING DEPARTMENT, BELLEVILLE, IL 62226
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014539
IL
Other
Enumeration date
09/01/2016
Last updated
02/05/2021
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