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Search › Illinois › 363A00000X

Bethany Mumbower, PA

NPI 1770890162 · on the registry since 2010

Practice

Address
2200 Wabash Ave
Springfield, IL 62704
Phone
(217) 528-7541
Fax
(217) 528-8962
Organisation at this address
Wabash Family Practice Center Lab
Springfield Clinic Pediatric Center Lab-2nd Floor
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois