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

MS. Bianca Bottiaux, PA

Individual provider Physician Assistant · NPI 1679639561

MS. Bianca Bottiaux, PA is a Physician Assistant in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2601 W Main St
Carbondale, IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 549-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-000730 (IL)

Record details

NPI number1679639561
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESSeptember 2, 2011

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