BETHEL FAMILY CLINIC
NPI 1346958766
Clinic/Center - Primary Care in Sauk Village, IL

Active since November 15, 2022
1705 E SAUK TRL, SAUK VILLAGE, IL 60411(708) 506-3188(815) 205-4821 Get Directions Write a Review

NPPES record last updated: February 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2023, Feb 7, 2023, Feb 3, 2023 and 1 more (4 updates tracked since 2022).

About Bethel Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHEL FAMILY CLINIC (NPI 1346958766) is a healthcare organization registered as a primary care in Sauk Village, Illinois and active in the NPI registry since November 2022. The organization lists Chuks B Akaeze, Manager, as its authorized official.

NPPES Registry Identity

NPI1346958766
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBETHEL CLINIC & URGENT CARE
Location Address1705 E SAUK TRLSauk Village, IL 60411-4955
Mailing Address1705 E Sauk TrlSauk Village, IL 60411-4955 · (708) 506-3188
Fax(815) 205-4821
Organization SubpartNo
Authorized OfficialChuks B AkaezeManager · (708) 506-3188
Enumeration DateNovember 15, 2022
Last NPPES UpdateFebruary 25, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2024
✔ NPI 1346958766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
1705 E SAUK TRL, Sauk Village, IL 60411

Other Names 1

Doing Business AsBethel Family Clinic

Other Identifiers 2

Medicaid1649641747IL
Other1346958766IL · Practice Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethel Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bethel Family Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1649641747
100 W 162ND ST
South Holland, IL 60473
(708) 730-2200
✔ PECOS✔ Accepts Medicare8.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethel Clinic & Urgent Care's NPI number?

The NPI number for Bethel Clinic & Urgent Care is 1346958766. It was assigned to this organization in the NPPES registry on November 15, 2022. The provider is doing business as Bethel Family Clinic.

Where is Bethel Clinic & Urgent Care located?

Bethel Clinic & Urgent Care is located at 1705 E Sauk Trl, Sauk Village, IL 60411. The listed phone number is (708) 506-3188.

What is Bethel Clinic & Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Bethel Clinic & Urgent Care enrolled in Medicare?

Yes. Bethel Clinic & Urgent Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethel Clinic & Urgent Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bethel Clinic & Urgent Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bethel Clinic & Urgent Care was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.