# BETHANY NORTH SUBURBAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Partners in Home HealthCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134733835
- **Authorized official:** SUNNY LOPEZ (PRESIDENT/CEO)
- **Authorized official phone:** (847) 904-5122

## Contact information

- **Practice address:** 2601 CHESTNUT AVE UNIT 3310, GLENVIEW, IL 60026-8317
- **Practice address phone:** (847) 904-5122
- **Mailing address:** 2601 CHESTNUT AVE UNIT 3310, GLENVIEW, IL 60026-8317
- **Mailing address phone:** (847) 904-5122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2020
- **Last updated:** 09/01/2020