Provider Demographics
NPI:1306861034
Name:BELLE CENTER OF CHICAGO INC
Entity Type:Organization
Organization Name:BELLE CENTER OF CHICAGO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:VALUKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-878-7868
Mailing Address - Street 1:1754 W WILSON AVE
Mailing Address - Street 2:BELLE CENTER OF CHICAGO INC
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640
Mailing Address - Country:US
Mailing Address - Phone:773-878-7868
Mailing Address - Fax:773-878-7869
Practice Address - Street 1:1754 W WILSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640
Practice Address - Country:US
Practice Address - Phone:773-878-7868
Practice Address - Fax:773-878-7869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health