Individual provider · Type 1 NPI

Ellie Marie Bentley, DO

Surgery Physician · Herrin, IL

NPI number 1093157315 Active

Practice location

220 S Park Ave Fl 3
Herrin, IL 62948

Fax (618) 351-6497

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 1 Medical Center Dr, Suite 162, Stratford, NJ 08084-1500 · (856) 566-6708

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X036150570 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1093157315

Ellie Marie Bentley, DO's National Provider Identifier is 1093157315, issued on Jul 28, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Herrin, IL. The record was last updated on Sep 13, 2021.