Ellie Marie Bentley, D.O.

NPI #1093157315 in Herrin, Illinois

Provider Information

NPI Number: 1093157315
Entity Type: Individual
Name: Ellie Marie Bentley, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: D.O.
Enumeration Date: Jul 28, 2013
Last Updated: Sep 13, 2021

Practice Location

Address: 220 S PARK AVE FL 3
City: Herrin
State: Illinois
ZIP Code: 62948
Phone: (618) 942-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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