Organization
OPHTHALMOLOGY NORTHWEST, S.C.
Active
Other names
Advanced Vision Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B. BELLO M.D. (BOARD CERTIFIED OPHTHALMOLOGIST)
(773) 775-9755
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 406, CHICAGO, IL 60631-3715
(773) 775-9755
(773) 775-4306
Mailing address
7447 W TALCOTT AVE, SUITE 406, CHICAGO, IL 60631-3715
(773) 775-9755
(773) 775-4306
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-062534
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180005988
RAILROAD MEDICARE
IL
01
—
31602843
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
02/28/2007
Last updated
11/25/2009
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