MEDICARE: ALFONSO BELLO MD

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	207RR0500X	Rheumatology Physician	036-092631	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1942252697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFONSO BELLO MD

Provider Business Mailing Address
First Line	:	900 RAND RD STE 300
Second Line	:	ATTN RAQUEL LEON
City	:	DES PLAINES
State	:	IL
Zip	:	60016-2359
Country	:	US
Telephone Number	:	847-324-3976
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 RAVINE WAY
Second Line	:	SUITE 200
City	:	GLENVIEW
State	:	IL
Zip	:	60025-7645
Country	:	US
Telephone Number	:	847-998-5680
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/28/2012

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