Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Homes and Methodist Hospital

Organization Family Medicine Physician · NPI 1518202225

Bethany Homes and Methodist Hospital is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

5113 N Clark St
Chicago, IL 60640-2807
Phone: (773) 293-4090
Fax: (773) 293-4503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036108645 (IL)

Record details

NPI number1518202225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camilla Larsen — Medical Director · (773) 653-5630
Other names Egel Medical Clinic
NPI enumeratedDecember 6, 2012
Last updated in NPPESDecember 20, 2012
Mailing address5113 N Clark St, Chicago, IL 60640-2807

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