Healthcare Provider Details

I. General information

NPI: 1013663186
Provider Name (Legal Business Name): AARON TODD BELL AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2022
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N EDWARD ST STE 2400
DECATUR IL
62526-4163
US

IV. Provider business mailing address

12010 CEMETERY RD
ARGENTA IL
62501-8051
US

V. Phone/Fax

Practice location:
  • Phone: 217-876-2400
  • Fax: 217-876-2405
Mailing address:
  • Phone: 217-620-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209.024843
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209.024843
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: