Bennu Health Service

LBN: Bennu Health Service
Bennu Health Service is an health care organization with primary practice located at 2617 W 71St St , Chicago IL 60629-2003. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Bennu Health Service can be contacted via phone (773) 354-7572, or through Gray-White, Kimberly via phone (773) 354-7572.

Contact Information

Primary practice address
2617 W 71St St Chicago IL 60629-2003
Phone: (773) 354-7572
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray-White, Kimberly Doctor of Medicine (MD)
Phone: (773) 354-7572

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Illinois

Profile Details

NPI number 1164640611
LBN Legal business name Bennu Health Service
DBA Doing business as
Authorized official Gray-White, Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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