MEDICARE: BETH PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	251S00000X	Community/Behavioral Health Agency
3	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1043198062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETH PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	20855 S LAGRANGE RD STE 205
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-2043
Country	:	US
Telephone Number	:	773-985-3539
Fax Number	:	773-825-8411

Provider Business Practice Location Address
First Line	:	20855 S LAGRANGE RD STE 205
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-2043
Country	:	US
Telephone Number	:	773-985-3539
Fax Number	:	773-825-8411

Authorized Official
Title or Position	:	DIRECTOR
Name	:	OLAJUMOKE ELIZABETH ADEKOYA
Credential	:
Telephone Number	:	402-417-5333

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	09/16/2025

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