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Contact Information

KEVIN BETHKE, MD
676 N SAINT CLAIR ST
SUITE 1525A
CHICAGO, IL60611-2927
 Phone: 312-943-2746
 Fax: 312-266-1411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEVIN BETHKE · (Male)

NPI Number 1356338883
Status Active
Credentials MD
Entity Individual
Enumeration date 09/30/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 01621690 BLUE SHIELD
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
  • PALOS COMMUNITY HOSPITAL - (Acute Care)
    12251 SOUTH 80TH AVENUE
    PALOS HEIGHTS, IL 60463
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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