Healthcare Provider Details

I. General information

NPI: 1699609644
Provider Name (Legal Business Name): MARIA CAMILA BELLO TORRES M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 N. OAKLEY BLVD., 2ND FLOOR
CHICAGO IL
60622
US

IV. Provider business mailing address

1127 N. OAKLEY BLVD., 2ND FLOOR
CHICAGO IL
60622
US

V. Phone/Fax

Practice location:
  • Phone: 312-770-2040
  • Fax: 312-770-3270
Mailing address:
  • Phone: 312-770-2040
  • Fax: 312-770-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: