Bethany Homes and Methodist Hospital
Bethany Homes and Methodist Hospital provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
5113 N Clark StChicago, IL 60640-2807 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 293-4090
Fax: (773) 293-4503
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036108645 (IL) |
|---|
Record details
| NPI number | 1518202225 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Camilla Larsen — Medical Director · (773) 653-5630 |
| Other names | Egel Medical Clinic |
| NPI enumerated | December 6, 2012 |
| Last updated in NPPES | December 20, 2012 |
| Mailing address | 5113 N Clark St, Chicago, IL 60640-2807 |
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