Michael, Belmina
Michael, Belmina is an individual health care provider with primary practice located at 7318 Madison St , Forest Park IL 60130-3100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Michael, Belmina can be contacted via phone (708) 771-4171.Contact Information
Primary practice address
7318 Madison St
Forest Park IL 60130-3100
Phone: (708) 771-4171
Fax: (708) 771-4330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 36081662 | Illinois |
Profile Details
| NPI number | 1063451458 |
|---|---|
| LBN Legal business name | Michael, Belmina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jul 31st, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063451458 | NPPES |
| Illinois | MEDICAID | 036081662 |
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