Organization
CLEAR RIDGE WELLNESS CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET KAY STELLE-BETMAN APN, FNP-BC (FAMILY NURSE PRACTITIONER)
(309) 287-5506
Entity
Organization
Contact information
Practice address
6745 W 63RD ST, CHICAGO, IL 60638-4003
(773) 229-8545
(773) 229-8545
Mailing address
6745 W 63RD ST, CHICAGO, IL 60638-4003
(773) 229-8545
(773) 229-8545
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
041.283154
IL
261QP2300X
Primary Care Clinic/Center
Primary
209.008667
IL
Other
Enumeration date
08/25/2011
Last updated
02/13/2012
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