person
Carol Bettendorf, PT
Specialist in Lake Villa, Illinois
NPI 1386784098

Carol Bettendorf is a Specialist based in Lake Villa, IL. Carol Bettendorf practices in Lake Villa, IL and has the professional credentials of PT. The NPI Number for Carol Bettendorf is 1386784098 and holds a License No. 070002049 (Illinois).

The current practice location address for Carol Bettendorf is 89 Cedar Ave, Lake Villa, IL and can be reached out via phone at 847-265-7300 and via fax at 847-265-7301.

Location: 89 Cedar Ave, Lake Villa, IL, 60046-0764
person
Provider Profile Details
NPI Number
1386784098
Provider Name
Carol Bettendorf
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
89 Cedar Ave, Lake Villa, IL, 60046-0764
Phone Number
847-265-7300
Fax Number
847-265-7301
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04932271 01 IL BLUE SHIELD
710957905 01 IL FEIN
institution
Provider Business Practice Location Address Details
Address
89 Cedar Ave
City
State
Zip
60046-8411
Phone Number
847-265-7300
Fax Number
847-265-7301
person
Provider Business Mailing Address Details
Address
89 Cedar Ave
City
State
Zip
60046-8411
Phone Number
847-265-7300
Fax Number
847-265-7301
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
070002049 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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