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Contact Information

BETTE L ANDERSON, MD
3015 VILLAGE OFFICE PL
CHAMPAIGN, IL61822-7674
 Phone: 217-355-7947
 Fax: 217-355-8047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BETTE L ANDERSON · (Female)

NPI Number 1386612927
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 03/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036073436
  • IL License # BA0383757
  • IL Medicaid 036073436
  • IL Other 1032096 BLUE CROSS BLUE SHIELD
  • IL Other 301724 PERSONAL CARE
  • IL Other 205022193 TRI-CARE
  • IL Other 960582 UNITED HEALTHCARE
Hospital affiliation(s)
  • SUMMA HEALTH SYSTEMS HOSPITALS - (Acute Care)
    525 EAST MARKET STREET
    AKRON, OH 44309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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