MEDICARE: ALYSIA BELL

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
1	224Z00000X	Occupational Therapy Assistant	057004123	IL

General Provider Information

NPI Number	:	1114304722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSIA BELL

Provider Business Mailing Address
First Line	:	567 BROOKLINE ST
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-3912
Country	:	US
Telephone Number	:	708-833-8871
Fax Number	:

Provider Business Practice Location Address
First Line	:	567 BROOKLINE ST
Second Line	:
City	:	CHICAGO HEIGHTS
State	:	IL
Zip	:	60411-3912
Country	:	US
Telephone Number	:	708-833-8871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	10/18/2019

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Directions to “ ALYSIA BELL ” Practice Location

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