# NORA T. BELLOSA, M.D.,S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982148383
- **Authorized official:** DR. NORA T BELLOSA M.D. (OWNER)
- **Authorized official phone:** (708) 425-5544

## Contact information

- **Practice address:** 10448 S PULASKI RD, OAK LAWN, IL 60453-4895
- **Practice address phone:** (708) 425-5544
- **Practice address fax:** (708) 425-0002
- **Mailing address:** 10448 S PULASKI RD, OAK LAWN, IL 60453-4895
- **Mailing address phone:** (708) 425-5544
- **Mailing address fax:** (708) 425-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036053389 | IL | Yes |

## Other

- **Enumeration date:** 12/05/2016
- **Last updated:** 12/05/2016