Organization
BETHMIA FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOJISOLA AYORINDE (OWNER)
(630) 849-8787
Entity
Organization
Contact information
Practice address
17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 60429-2079
(630) 849-8787
(630) 566-2622
Mailing address
2450 RIDGE AVE, AURORA, IL 60504-6038
(630) 849-8787
(630) 566-2622
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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