Individual
DR. BELMINA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7318 MADISON ST, FOREST PARK, IL 60130-3100
(708) 771-4171
(708) 771-4330
Mailing address
1623 N 77TH CT, ELMWOOD PARK, IL 60707-4109
(708) 771-4171
(708) 771-4330
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36081662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081662
—
IL
Enumeration date
06/04/2006
Last updated
07/31/2009
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