Bellosa, Nora

Bellosa, Nora is an sole proprietor health care provider with primary practice located at 10448 S Pulaski Rd , Oak Lawn IL 60453-4895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Bellosa, Nora can be contacted via phone (708) 425-5544.

Contact Information

Primary practice address
10448 S Pulaski Rd Oak Lawn IL 60453-4895
Fax: (708) 425-0002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036053389 Illinois

Profile Details

NPI number 1982763421
LBN Legal business name Bellosa, Nora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Jan 28th, 2014 - about 10 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 1982763421 NPPES
Illinois MEDICAID 036053389

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