| Bethel Family Clinic | |
|
1705 E Sauk Trl Sauk Village IL 60411-4955 | |
| (708) 506-3188 | |
| (815) 205-4821 |
| Full Name | Bethel Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1705 E Sauk Trl, Sauk Village, Illinois |
| Authorized Official Name and Position | Chuks B Akaeze (MANAGER) |
| Authorized Official Contact | 7085063188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Family Clinic 1705 E Sauk Trl Sauk Village IL 60411-4955 Ph: (708) 506-3188 | Bethel Family Clinic 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 |
| 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 |