Organization
BETHEL CLINIC & URGENT CARE
Active
Other names
BETHEL FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKS B AKAEZE RN/BSN (MANAGER)
(708) 506-3188
Entity
Organization
Contact information
Practice address
1705 E SAUK TRL, SAUK VILLAGE, IL 60411-4955
(708) 506-3188
(815) 205-4821
Mailing address
1705 E SAUK TRL, SAUK VILLAGE, IL 60411-4955
(708) 506-3188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346958766
PRACTICE NPI
IL
05
—
1649641747
—
IL
Enumeration date
11/15/2022
Last updated
02/25/2024
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