Individual
MRS. DAVINA MONIQUE BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 RIVERSIDE DR STE 2800, BOURBONNAIS, IL 60914-5004
(815) 935-1100
(815) 937-5966
Mailing address
400 RIVERSIDE DR STE 2800, BOURBONNAIS, IL 60914-5004
(815) 935-1100
(815) 937-5966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001933
IL
Other
Enumeration date
03/14/2007
Last updated
03/22/2021
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