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NPI Code Detail

MEDICARE: DR. ALFONSO C. BELLO M.D.

MEDICARE: DR. ALFONSO C. BELLO 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
1207Q00000XFamily Medicine Physician036046833IL

General Provider Information

NPI Number : 1538171574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFONSO C. BELLO M.D.
Provider Business Mailing Address
First Line : 10425 DEARLOVE RD
Second Line : GB
City : GLENVIEW
State : IL
Zip : 60025-7547
Country : US
Telephone Number : 847-768-0477
Fax Number :
Provider Business Practice Location Address
First Line : 5137 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2904
Country : US
Telephone Number : 773-378-4664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/08/2007

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