Individual
MARK BELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 W FOSTER AVE, CHICAGO, IL 60640-2288
(773) 769-5500
Mailing address
1740 N MAPLEWOOD AVE APT 314, CHICAGO, IL 60647-5274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0013611
CO
225200000X
Physical Therapy Assistant
Primary
160007679
IL
Other
Enumeration date
06/01/2015
Last updated
03/23/2021
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