Provider Demographics
NPI:1134871494
Name:BELLAMY, ZIPORAH DARIA
Entity type:Individual
Prefix:
First Name:ZIPORAH
Middle Name:DARIA
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3168 BROMLEY LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-6519
Mailing Address - Country:US
Mailing Address - Phone:708-655-7615
Mailing Address - Fax:
Practice Address - Street 1:3168 BROMLEY LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-6519
Practice Address - Country:US
Practice Address - Phone:708-655-7615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker