Provider Demographics
NPI:1003813973
Name:BELLO, JOHN B (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:BELLO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7447 W TALCOTT
Mailing Address - Street 2:SUITE 406
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3715
Mailing Address - Country:US
Mailing Address - Phone:773-775-9755
Mailing Address - Fax:773-775-4306
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 406
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3715
Practice Address - Country:US
Practice Address - Phone:773-775-9755
Practice Address - Fax:773-775-4306
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2009-11-24
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Provider Licenses
StateLicense IDTaxonomies
IL336027055207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC44349Medicare UPIN
IL789980Medicare PIN