Healthcare Provider Details

I. General information

NPI: 1922965151
Provider Name (Legal Business Name): BELLA D HEALTH AND AESTHETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE STE 211C
NAPERVILLE IL
60563-8965
US

IV. Provider business mailing address

800 W 5TH AVE STE 211C
NAPERVILLE IL
60563-8965
US

V. Phone/Fax

Practice location:
  • Phone: 815-608-3481
  • Fax:
Mailing address:
  • Phone: 815-608-3481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DOLLY AGBA
Title or Position: CEO
Credential: ANP
Phone: 815-608-3481