Adame, Betzabe

Adame, Betzabe is an individual health care provider with primary practice located at 2355 S Western Ave , Chicago IL 60608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Adame, Betzabe can be contacted via phone (773) 254-1400.

Contact Information

Primary practice address
2355 S Western Ave Chicago IL 60608
Phone: (773) 254-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.011250 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180012521 Illinois

Profile Details

NPI number 1255773099
LBN Legal business name Adame, Betzabe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2013
Last updated Jan 17th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255773099 NPPES
Illinois MEDICAID PENDING

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