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NPI Code Detail

MEDICARE: BRIDGET RENEE BILLINGS RDH, PHDH

MEDICARE: BRIDGET RENEE BILLINGS RDH, PHDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist020.012649IL

General Provider Information

NPI Number : 1184586034
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET RENEE BILLINGS RDH, PHDH
Provider Business Mailing Address
First Line : 510 3RD AVE
Second Line :
City : OTTAWA
State : IL
Zip : 61350-3616
Country : US
Telephone Number : 888-833-8441
Fax Number : 248-919-5057
Provider Business Practice Location Address
First Line : 8770 W BRYN MAWR AVE STE 1300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3557
Country : US
Telephone Number : 888-833-8441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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