| Bethel Clinic & Urgent Care | |
|
1705 E Sauk Trl Sauk Village IL 60411-4955 | |
| (708) 506-3188 | |
| (815) 205-4821 |
| Full Name | Bethel Clinic & Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1705 E Sauk Trl, Sauk Village, Illinois |
| Authorized Official Name and Position | Chuks B Akaeze (MANAGER) |
| Authorized Official Contact | 7085063188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Clinic & Urgent Care 1705 E Sauk Trl Sauk Village IL 60411-4955 Ph: (708) 506-3188 | Bethel Clinic & Urgent Care 1705 E Sauk Trl Sauk Village IL 60411-4955 Ph: (708) 506-3188 |
| NPI Number | 1346958766 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 02/25/2024 |
| Medicare PECOS PAC ID | 7618490129 |
|---|---|
| Medicare Enrollment ID | O20250325003331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346958766 | NPI | - | NPPES |
| 1649641747 | Medicaid | IL | |
| 1346958766 | Other | IL | PRACTICE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dorothy Mato Akaeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641747 PECOS PAC ID: 4880920057 Enrollment ID: I20191002003497 |