Bella T Prospero in Homewood - Internal Medicine

Bella T Prospero - NPI 1699775916

Bella T Prospero is a Internal Medicine in Homewood, Illinois. Bella T Prospero practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bella T Prospero is 1699775916. The last update date is 2013-01-15.

Bella T Prospero's current location address is 17901 Governors Hwy, Homewood, Illinois. You can contact this provider via phone number 7087997193 and fax number 7087993839. The mailing address for Bella T Prospero is 17901 Governors Hwy, Homewood, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Bella T Prospero
Address 17901 Governors Hwy, Homewood, Illinois
Phone Number 7087997193
Fax Number 7087993839
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1699775916
Provider Enumeration Date 2005-07-28
Last Updated Date 2013-01-15

Provider Mailing Address Detail

Address 17901 Governors Hwy
City Homewood
State Illinois (IL)
Post Code 604301144
Phone Number 7087997193
Fax Number 7087993839

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36058672
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36058672 IL --
1635492 BCBSIL GROUP NUMBER

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FAQs about Bella T Prospero

What is the unique identifier code issued to Bella T Prospero by the Centers for Medicare & Medicaid Services (CMS)?

The Bella T Prospero has been assigned the NPI (National Provider Identifier) 1699775916. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Bella T Prospero?

The Bella T Prospero is situated at 17901 Governors Hwy, in the city of Homewood, state of IL, with the zip code 604301144.

What is Bella T Prospero's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bella T Prospero's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did Bella T Prospero receive its 1699775916 assignment from the Centers for Medicare & Medicaid Services?

The Bella T Prospero was assigned its 1699775916 on 2005-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Bella T Prospero most recently updated or revised?

The information pertaining to Bella T Prospero, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-15.

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