Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Page Bouldin, MD

Individual provider Occupational Medicine Physician · NPI 1356192637

Bethany Page Bouldin, MD is an Occupational Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 S Wood St # MC675
Chicago, IL 60612-4325
Phone: (312) 996-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 125.084571 (IL)

Record details

NPI number1356192637
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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