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General NPI Number Information
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NPI Number | 1003813973
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Entity Type | Individual
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Provider Name | JOHN B BELLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT AVE SUITE 406
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City | CHICAGO
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State | IL
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Zip | 60631-3715
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Country | US
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Telephone | 773-775-9755
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Fax | 773-775-4306
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Provider Business Mailing Address
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Address Line | 7447 W TALCOTT SUITE 406
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City | CHICAGO
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State | IL
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Zip | 60631-3715
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Country | US
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Telephone | 773-775-9755
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Fax | 773-775-4306
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 336027055
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License Number State | IL
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