Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL BETTENDORF, PT
Active Sole ProprietorCAROL BETTENDORF, PT is a Specialist healthcare provider located in LAKE VILLA, Illinois. NPI 1386784098 is currently active in the NPPES registry. Verify at CMS.
Specialist · LAKE VILLA, IL
Registration Details
- NPI Number
- 1386784098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2007 (19.484671376825 yrs)
- Last Updated
- Sep 21, 2010
- License
-
070002049 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
89 CEDAR AVELAKE VILLA, IL, 600468411Browse IL providers · Browse ZIP 60046
- Phone
- 8472657300
- Fax
- 8472657301
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LAKE VILLA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KELLY RUBY | PT | 1174531412 |
| BRENDA L BEITZEL | OT | 1528108230 |
| REBECCA CAIN | OT | 1659411387 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.