# OPHTHALMOLOGY NORTHWEST, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Vision Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871620609
- **Authorized official:** DR. JOHN B. BELLO M.D. (BOARD CERTIFIED OPHTHALMOLOGIST)
- **Authorized official phone:** (773) 775-9755

## Contact information

- **Practice address:** 7447 W TALCOTT AVE, SUITE 406, CHICAGO, IL 60631-3715
- **Practice address phone:** (773) 775-9755
- **Practice address fax:** (773) 775-4306
- **Mailing address:** 7447 W TALCOTT AVE, SUITE 406, CHICAGO, IL 60631-3715
- **Mailing address phone:** (773) 775-9755
- **Mailing address fax:** (773) 775-4306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036-062534 | IL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 11/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180005988 | RAILROAD MEDICARE | IL |
| 01 | — | 31602843 | BLUE CROSS & BLUE SHIELD | IL |