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Organization
BELLA FAMILY HEALTH AND WELLNESS, LLC
Active
Organization
BELLA FAMILY HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDO CARMEN RUFFOLO D.O. (PRESIDENT AND SOLE MEMBER)
(217) 345-2100
Entity
Organization
Contact information
Practice address
10555 E COUNTY ROAD 800N, MATTOON, IL 61938-3574
(217) 235-4227
(217) 235-4274
Mailing address
907 W LINCOLN AVE, CHARLESTON, IL 61920-2413
(217) 345-2100
(217) 345-8366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
248000561
IL
363LF0000X
Family Nurse Practitioner
248000561
IL
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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