Individual
MS. MARY BELLOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-7609
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064
(224) 610-7609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
12/09/2016
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