Individual
MRS. BETHANY ROSE RETTBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11200 LINCOLN HWY, MOKENA, IL 60448-8208
(866) 389-2727
Mailing address
11305 ABBEY RD, MOKENA, IL 60448-1456
(708) 259-9744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010227
IL
Other
Enumeration date
03/11/2013
Last updated
03/31/2020
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