Healthcare Provider Details

I. General information

NPI: 1184586034
Provider Name (Legal Business Name): BRIDGET RENEE BILLINGS RDH, PHDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8770 W BRYN MAWR AVE STE 1300
CHICAGO IL
60631-3557
US

IV. Provider business mailing address

510 3RD AVE
OTTAWA IL
61350-3616
US

V. Phone/Fax

Practice location:
  • Phone: 888-833-8441
  • Fax:
Mailing address:
  • Phone: 888-833-8441
  • Fax: 248-919-5057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number020.012649
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: