Organization
BEVEL UP MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA S WINSTON (OWNER)
(312) 401-1508
Entity
Organization
Contact information
Practice address
1105 W 104TH ST, CHICAGO, IL 60643-3052
(312) 401-1508
Mailing address
1130 S CANAL ST # 1347, CHICAGO, IL 60607-4907
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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