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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