Organization
BAYVIEW FAMILY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAMIDELE EKUNSANMI MD (CEO)
(217) 356-3400
Entity
Organization
Contact information
Practice address
206 BURWASH AVE, SAVOY, IL 61874-9510
(217) 356-3400
(217) 866-0122
Mailing address
206 BURWASH AVE, SAVOY, IL 61874-9510
(217) 356-3400
(217) 866-0122
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932330586
BLUE CROSS
—
Enumeration date
07/30/2009
Last updated
01/16/2026
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