MEDICARE: ALLA BILEVICH

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	163W00000X	Registered Nurse	041313012	IL

General Provider Information

NPI Number	:	1871923052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLA BILEVICH

Provider Business Mailing Address
First Line	:	2614 N CLYBOURN AVE
Second Line	:	APT. 209
City	:	CHICAGO
State	:	IL
Zip	:	60614-1036
Country	:	US
Telephone Number	:	312-307-4921
Fax Number	:

Provider Business Practice Location Address
First Line	:	2614 N CLYBOURN AVE
Second Line	:	APT. 209
City	:	CHICAGO
State	:	IL
Zip	:	60614-1036
Country	:	US
Telephone Number	:	312-307-4921
Fax Number	:

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

Provider Enumeration Date	:	11/25/2013
Last Update Date	:	11/25/2013

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