BETHANY WALLS

PEORIA, IL
NPI1063052231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000026872)
Enumeration Date2020-01-15
Last Update Date2025-07-30
Business Address
BETHANY WALLS
1200 W LOUCKS AVE
PEORIA, IL 61604-2604
Phone number: 309-306-7421
Mailing Address
BETHANY WALLS
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone number: 630-655-6748