| Eq Perspectives | |
|
16w281 83rd St Ste A Burr Ridge IL 60527-5814 | |
| (708) 694-9305 | |
| (949) 437-2051 |
| Full Name | Eq Perspectives |
|---|---|
| Speciality | Clinic/Center |
| Location | 16w281 83rd St Ste A, Burr Ridge, Illinois |
| Authorized Official Name and Position | Bethany Potempa (OWNER) |
| Authorized Official Contact | 7086949305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eq Perspectives 16w281 83rd St Ste A Burr Ridge IL 60527-5814 Ph: (708) 694-9305 | Eq Perspectives 16w281 83rd St Ste A Burr Ridge IL 60527-5814 Ph: (708) 694-9305 |
| NPI Number | 1891446910 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 7810381639 |
|---|---|
| Medicare Enrollment ID | O20220221002199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891446910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Bethany Potempa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790357390 PECOS PAC ID: 8729472543 Enrollment ID: I20220221002227 |
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