Individual
LISA N. BELLANFONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 S WACKER DR STE 300, CHICAGO, IL 60606-4421
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST., 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-00929
NC
207R00000X
Internal Medicine Physician
36171511
IL
Other
Enumeration date
09/29/2006
Last updated
03/27/2026
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