Bellamy, Latasha Lynn

Bellamy, Latasha Lynn is an individual health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bellamy, Latasha Lynn can be contacted via phone (708) 799-8000.

Contact Information

Primary practice address
17800 Kedzie Ave Hazel Crest IL 60429-2029
Phone: (708) 799-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-115286 Illinois

Profile Details

NPI number 1932169414
LBN Legal business name Bellamy, Latasha Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 11th, 2022 - about 3 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 1932169414 NPPES
Illinois Other P00307447 RAILROAD MEDICARE

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