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NPI Code Detail

MEDICARE: DR. BELMINA MICHAEL M.D.

MEDICARE: DR. BELMINA MICHAEL M.D.
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
1207N00000XDermatology Physician36081662IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063451458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BELMINA MICHAEL M.D.
Provider Business Mailing Address
First Line : 1623 N 77TH CT
Second Line :
City : ELMWOOD PARK
State : IL
Zip : 60707-4109
Country : US
Telephone Number : 708-771-4171
Fax Number : 708-771-4330
Provider Business Practice Location Address
First Line : 7318 MADISON ST
Second Line :
City : FOREST PARK
State : IL
Zip : 60130-3100
Country : US
Telephone Number : 708-771-4171
Fax Number : 708-771-4330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 07/31/2009

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Directions to “ DR. BELMINA MICHAEL M.D.” Practice Location

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