MEDICARE: DR. ANGELINE N BELTSOS 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
1	207VE0102X	Reproductive Endocrinology Physician	036-088775	IL

General Provider Information

NPI Number	:	1558404251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELINE N BELTSOS M.D.

Provider Business Mailing Address
First Line	:	1455 N MILWAUKEE AVE FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-2015
Country	:	US
Telephone Number	:	773-435-9036
Fax Number	:	773-572-9999

Provider Business Practice Location Address
First Line	:	1455 N MILWAUKEE AVE FL 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-2015
Country	:	US
Telephone Number	:	773-435-9036
Fax Number	:	773-572-9999

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	02/12/2024

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