Individual
BETHANN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-1069
Mailing address
6755 N WASHTENAW AVE, CHICAGO, IL 60645-4510
(773) 317-3616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85002584
IL
Other
Enumeration date
04/06/2007
Last updated
04/23/2021
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