Bennu Health Service | |
2617 W 71st St Chicago IL 60629-2003 | |
(773) 354-7572 | |
Not Available |
Full Name | Bennu Health Service |
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Speciality | Community/behavioral Health |
Location | 2617 W 71st St, Chicago, Illinois |
Authorized Official Name and Position | Kimberly Gray-white (PRESIDENT) |
Authorized Official Contact | 7733547572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bennu Health Service 1125a E Hyde Park Blvd Chicago IL 60615-2809 Ph: (773) 354-7572 | Bennu Health Service 2617 W 71st St Chicago IL 60629-2003 Ph: (773) 354-7572 |
NPI Number | 1164640611 |
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Provider Enumeration Date | 04/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164640611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Illinois) | Primary |
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