# BEVEL UP MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891528816
- **Authorized official:** KENDRA S WINSTON (OWNER)
- **Authorized official phone:** (312) 401-1508

## Contact information

- **Practice address:** 1105 W 104TH ST, CHICAGO, IL 60643-3052
- **Practice address phone:** (312) 401-1508
- **Mailing address:** 1130 S CANAL ST \# 1347, CHICAGO, IL 60607-4907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2024
- **Last updated:** 08/23/2024