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BETHMIA FOUNDATION
NPI 1366254286
Nurse Practitioner - Psychiatric/Mental Health in Hazel Crest, IL

Active since January 27, 2025
17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 60429(630) 849-8787(630) 566-2622 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethmia Foundation NPPES

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

BETHMIA FOUNDATION (NPI 1366254286) is a healthcare organization registered as a psychiatric/mental health in Hazel Crest, Illinois and active in the NPI registry since January 2025. The organization lists Mojisola Ayorinde, Owner, as its authorized official.

NPPES Registry Identity

NPI1366254286
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBETHMIA FOUNDATION
Location Address17516 E CARRIAGEWAY DR STE BHazel Crest, IL 60429-2079
Mailing Address2450 Ridge AveAurora, IL 60504-6038 · (630) 849-8787 · Fax (630) 566-2622
Phone(630) 849-8787
Fax(630) 566-2622
Organization SubpartNo
Authorized OfficialMojisola AyorindeOwner · (630) 849-8787
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1366254286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
17516 E CARRIAGEWAY DR STE B, Hazel Crest, IL 60429
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREE OF HEALTH AND WELLNESS
Chiropractor
17516 E CARRIAGEWAY DR STE B
HAZEL CREST, IL 60429
Cook County (708) 914-4445
DR. PETRINA JACKSON DC
Chiropractor
17516 E CARRIAGEWAY DR STE B
HAZEL CREST, IL 60429
Cook County (708) 260-6699
TRIO CHIROPRACTIC AND WELLNESS CENTER SC
Chiropractor
17516 E CARRIAGEWAY DR STE B
HAZEL CREST, IL 60429
Cook County (708) 914-4445

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 Bethmia Foundation's NPI number?

The NPI number for Bethmia Foundation is 1366254286. It was assigned to this organization in the NPPES registry on January 27, 2025.

Where is Bethmia Foundation located?

Bethmia Foundation is located at 17516 E Carriageway Dr Ste B, Hazel Crest, IL 60429. The listed phone number is (630) 849-8787.

What is Bethmia Foundation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bethmia Foundation was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.