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Individual

MICHELE BEHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3316 PATRIOT CT, HERRIN, IL 62948-3782
(618) 993-0307
(618) 351-4862
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.000649
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
077636
HEALTH ALLIANCE
01
080188013
RAILROAD MEDICARE
01
10019630
BLUE CROSS/BLUE SHIELD
Enumeration date
08/24/2006
Last updated
04/29/2026
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