Provider Demographics
NPI:1710276696
Name:BOHLE-FRANKEL, BETTINA UTE (MD)
Entity Type:Individual
Prefix:
First Name:BETTINA
Middle Name:UTE
Last Name:BOHLE-FRANKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETTINA
Other - Middle Name:
Other - Last Name:FRANKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:435 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091
Mailing Address - Country:US
Mailing Address - Phone:847-491-2151
Mailing Address - Fax:847-467-1193
Practice Address - Street 1:633 EMERSON ST
Practice Address - Street 2:CAPS
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60208-0844
Practice Address - Country:US
Practice Address - Phone:847-491-2151
Practice Address - Fax:847-467-1193
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.0913032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry