Bell, Jeremy Thomas

Bell, Jeremy Thomas is an individual health care provider with primary practice located at 10330 S Roberts Rd , Palos Hills IL 60465-1971. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bell, Jeremy Thomas can be contacted via phone (708) 237-7200.

Contact Information

Primary practice address
10330 S Roberts Rd Palos Hills IL 60465-1971
Phone: (708) 237-7200
Fax: (708) 237-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085-001406 Illinois

Profile Details

NPI number 1811940034
LBN Legal business name Bell, Jeremy Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 20th, 2021 - about 4 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 1811940034 NPPES
Illinois Other 085001406 BLUE CROSS BLUE SHIELD PROVIDER NUMBER
Illinois Other P00066169 BLUE CROSS BLUE SHIELD PROVIDER NUMBER
Illinois MEDICAID 085-001406 BLUE CROSS BLUE SHIELD PROVIDER NUMBER

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