Bevel Up Medical Services

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

BEVEL UP MEDICAL SERVICES

Practice address

1105 W 104TH St
Chicago, IL 60643-3052

Phone

(312) 401-1508

NPI assigned

Aug 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kendra S WinstonNPI 1710710736

Title

Owner

Phone

(312) 401-1508

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra S Winston

  • Phlebotomy Technician
  • Chicago, IL
  • NPI 1710710736

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1891528816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S CANAL ST # 1347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W 104TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433052",
            "telephone_number": "312-401-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVEL UP MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-401-1508"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rachel Beutler
• Gabriela Bevacqua-Collins, LPC
• Amanda Bevacqua, LMFT
• Carolyn Jean Bevan, MD
• Jillian Bevan
• Grace A Beveridge, PA-C
• Jennifer Lynn Beverlin, D.C.
• Beverly Behavioral Health, LTD
• Beverly Bone and Joint Clinic LLC
• Beverly Family Chiropractic Center

• Clinical Laboratory Director (Non-physician) in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Laboratory Director (Non-physician) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.