Individual provider · Type 1 NPI

Bianca Bottiaux, PA

Physician Assistant · Carbondale, IL

NPI number 1679639561 Active

Practice location

2601 W Main St
Carbondale, IL 62901-1031

Call (618) 549-5361 Map

Fax (618) 549-5128

Mailing address

PO Box 1105
Indianapolis, IN 46206-1105

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-000730 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679639561

Bianca Bottiaux, PA's National Provider Identifier is 1679639561, issued on Dec 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 2, 2011.