Healthcare Provider Details

I. General information

NPI: 1487549929
Provider Name (Legal Business Name): RITA BEKHASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 GRAND AVE
GURNEE IL
60031-4538
US

IV. Provider business mailing address

6300 GRAND AVE
GURNEE IL
60031-4538
US

V. Phone/Fax

Practice location:
  • Phone: 224-214-4902
  • Fax:
Mailing address:
  • Phone: 224-214-4902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028075
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037127
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: