Provider Demographics
NPI:1518158948
Name:BELMONTE, ANNMARIE L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNMARIE
Middle Name:L
Last Name:BELMONTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:SANSONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:300 RANDALL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4200
Mailing Address - Country:US
Mailing Address - Phone:630-938-8266
Mailing Address - Fax:630-938-2110
Practice Address - Street 1:300 RANDALL RD STE 100
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4200
Practice Address - Country:US
Practice Address - Phone:630-938-8266
Practice Address - Fax:630-938-2110
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007320103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical