MEDICARE: DR. MARCIA L. BELL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BCBS	OTHER	IL	PROVIDER NUMBER

General Provider Information

NPI Number	:	1184744187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCIA L. BELL D.C.

Provider Business Mailing Address
First Line	:	206 E 9TH ST
Second Line	:
City	:	ROCK FALLS
State	:	IL
Zip	:	61071-1722
Country	:	US
Telephone Number	:	815-626-3853
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 1ST AVE
Second Line	:
City	:	ROCK FALLS
State	:	IL
Zip	:	61071-5103
Country	:	US
Telephone Number	:	815-622-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	07/09/2007

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