Nora T. Bellosa, M.D.,s.C.
Clinic/Center, Medical Specialty in Oak Lawn, IL. Organization (NPI-2).
NPI number1982148383
StatusActive
Last updated in NPPESDec 5, 2016
Details
- NPI
- 1982148383
- Entity type
- Organization (NPI-2)
- Legal business name
- Nora T. Bellosa, M.D.,s.C.
- Organization subpart
- No
- Enumeration date
- Dec 5, 2016
- Last updated
- Dec 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 036053389 | IL | Yes |
Practice location
10448 S Pulaski RdOak Lawn, IL 60453-4895
Phone 708-425-5544 · Fax 708-425-0002
Mailing address
10448 S Pulaski RdOak Lawn, IL 60453-4895
Phone 708-425-5544 · Fax 708-425-0002
Authorized official
Nora T Bellosa
Owner
7084255544
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