Bethmia Foundation
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Hazel Crest, IL
NPI 1366254286 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1366254286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BETHMIA FOUNDATION
- Practice address
- 17516 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2079 - Phone
- (630) 849-8787
- Fax
- (630) 566-2622
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Mojisola Ayorinde
- Title
- Owner
- Phone
- (630) 849-8787
Practitioners 1
-
Mojisola Adedoyin Ayorinde, PMHNP-BC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
17516 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2079
Mailing address
2450 Ridge Ave
Aurora, IL 60504-6038
Phone (630) 849-8787
Other providers in Hazel Crest, IL
- Mikail Bass
- Belk Developmental Therapy, LLC
- Crystal Dior Antwanette Belk
- Latasha Lynn Bellamy
- Nader M Beshay
- Adarsh Kumar Bhan
- Varsha Bhan
- Amarjit Singh Bhasin
- Motilal A. Bhatia
- Neelam Motilal Bhatia
All providers in Hazel Crest, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.