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NPI Code Detail

MEDICARE: EMANUELLE A L BELLAGUARDA M.D.

MEDICARE: EMANUELLE A L BELLAGUARDA 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
1207RG0100XGastroenterology Physician036.127732IL

General Provider Information

NPI Number : 1699919324
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMANUELLE A L BELLAGUARDA M.D.
Provider Business Mailing Address
First Line : 680 N LAKE SHORE DR STE 1000
Second Line :
City : CHICAGO
State : IL
Zip : 60611-8709
Country : US
Telephone Number : 312-695-0838
Fax Number :
Provider Business Practice Location Address
First Line : 680 N LAKE SHORE DR STE 1000
Second Line :
City : CHICAGO
State : IL
Zip : 60611-8709
Country : US
Telephone Number : 312-695-0838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2009
Last Update Date : 04/23/2015

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Directions to “ EMANUELLE A L BELLAGUARDA M.D.” Practice Location

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