Baz, Bella Y

Baz, Bella Y is an individual health care provider with primary practice located at 516 S Chestnut St , Wenona IL 61377-0250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Baz, Bella Y can be contacted via phone (815) 853-4402.

Contact Information

Primary practice address
516 S Chestnut St Wenona IL 61377-0250
Phone: (815) 853-4402
Fax: (815) 853-4200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1770533648
LBN Legal business name Baz, Bella Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 18 years 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 1770533648 NPPES
Illinois Other 4581217 AETNA
Illinois Other 0006200024 AETNA
Illinois Other 022250 AETNA

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