Provider Demographics
NPI:1881771459
Name:BEBEJ, PAULA ANN (DO)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:ANN
Last Name:BEBEJ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13192 BRIAR PATCH LANE
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439
Mailing Address - Country:US
Mailing Address - Phone:630-257-5898
Mailing Address - Fax:
Practice Address - Street 1:955 NATIONAL PKWY STE 40
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5161
Practice Address - Country:US
Practice Address - Phone:630-543-3020
Practice Address - Fax:630-543-1551
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036077960207PP0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036077960Medicaid