Individual
BELA PANDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
3830 W 95TH ST STE 104, EVERGREEN PARK, IL 60805-2004
(708) 423-3668
Mailing address
3830 W 95TH ST, STE 104, EVERGREEN PARK, IL 60805-2004
(312) 523-4584
(720) 834-9073
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005203
—
IL
01
—
01635520
BCBS
—
01
—
5617590001
PTAN
IL
01
—
P00338399
RAIL ROAD MEDICARE
IL
Enumeration date
08/27/2007
Last updated
05/24/2022
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