Organization
BELLA GOLAND, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA GOLAND M.D. (MEDICAL DIRECTOR)
(847) 897-5995
Entity
Organization
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 525, CHICAGO, IL 60625-3645
(773) 769-1400
Mailing address
PO BOX 5979, BUFFALO GROVE, IL 60089-5979
(773) 196-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036089212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089212
—
IL
Enumeration date
11/21/2006
Last updated
12/02/2008
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