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1295554384
BETHEL PSYCHIATRY LLC
PLAINFIELD, IL
NPI
1295554384
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Entity Type
Organization
Authorized Contact
OLUYEMI LASAKI
Owner
815-710-0387
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
BETHEL PSYCHIATRY LLC
24047 W LOCKPORT ST STE D
PLAINFIELD, IL 60544-2205
Phone number: 815-710-0387
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Mailing Address
BETHEL PSYCHIATRY LLC
24047 W LOCKPORT ST STE D
PLAINFIELD, IL 60544-2205
Phone number: 815-710-0387
Copy
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