Individual
MS. ELIZABETH ANN BEBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
205 N MAIN ST, HARRISBURG MEDICAL CLINIC, HARRISBURG, IL 62946
(618) 253-8450
(618) 253-8454
Mailing address
PO BOX 3008, COMMUNITY HEALTH & EMERGENCY SERVICES, CARBONDALE, IL 62902-3008
(618) 457-0450
(618) 457-7329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
12/30/2020
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