Individual
DR. NORA BELLOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10448 S PULASKI RD, OAK LAWN, IL 60453-4895
(708) 425-5544
(708) 425-0002
Mailing address
10448 S PULASKI RD, OAK LAWN, IL 60453-4895
(708) 425-5544
(708) 425-0002
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036053389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053389
—
IL
Enumeration date
12/08/2006
Last updated
01/28/2014
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