Individual
DR. PAUL D BELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE BLDG 105-1700, MAYWOOD, IL 60153-3328
(708) 216-5825
(708) 216-5858
Mailing address
2160 S 1ST AVE BLDG 105-1700, MAYWOOD, IL 60153-3328
(708) 216-5825
(708) 216-5858
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036049020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049020
—
IL
01
—
21606716
BLUE CROSS BLUE SHIELD
IL
01
—
49127601
UNITED HEALTHCARE
IL
Enumeration date
03/15/2006
Last updated
07/23/2012
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