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General NPI Number Information
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NPI Number | 1043198062
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Entity Type | Organization
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Legal Business Name | BETH PSYCHIATRY LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 20855 S LAGRANGE RD STE 205
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City | FRANKFORT
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State | IL
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Zip | 60423-2043
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Country | US
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Telephone | 773-985-3539
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Fax | 773-825-8411
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Provider Business Mailing Address
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Address Line | 20855 S LAGRANGE RD STE 205
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City | FRANKFORT
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State | IL
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Zip | 60423-2043
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Country | US
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Telephone | 773-985-3539
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Fax | 773-825-8411
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Authorized Official
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Title or Position | DIRECTOR
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Name | OLAJUMOKE ELIZABETH ADEKOYA
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Credential |
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Telephone | 402-417-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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