Bella Family Health And Wellness, Llc | |
10555 E County Road 800n Mattoon IL 61938-3574 | |
(217) 235-4227 | |
(217) 235-4274 |
Full Name | Bella Family Health And Wellness, Llc |
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Speciality | Family Medicine |
Location | 10555 E County Road 800n, Mattoon, Illinois |
Authorized Official Name and Position | Aldo Carmen Ruffolo (PRESIDENT AND SOLE MEMBER) |
Authorized Official Contact | 2173452100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bella Family Health And Wellness, Llc 907 W Lincoln Ave Charleston IL 61920-2413 Ph: (217) 345-2100 | Bella Family Health And Wellness, Llc 10555 E County Road 800n Mattoon IL 61938-3574 Ph: (217) 235-4227 |
NPI Number | 1033484704 |
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Provider Enumeration Date | 03/14/2012 |
Last Update Date | 03/14/2012 |
Identifier | Type | State | Issuer |
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1033484704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 248000561 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 248000561 (Illinois) | Secondary |