| Bella T Prospero Md Sc | |
|
17901 Governors Hwy Suite 101 Homewood IL 60430-1144 | |
| (708) 799-7193 | |
| (708) 799-3839 |
| Full Name | Bella T Prospero Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17901 Governors Hwy, Homewood, Illinois |
| Authorized Official Name and Position | Bella T Prospero (PRESIDENT) |
| Authorized Official Contact | 7087997193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella T Prospero Md Sc Po Box 1329 Matteson IL 60443-4329 Ph: (708) 747-5850 | Bella T Prospero Md Sc 17901 Governors Hwy Suite 101 Homewood IL 60430-1144 Ph: (708) 799-7193 |
| NPI Number | 1346230257 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346230257 | NPI | - | NPPES |
| 01635492 | Other | BCBSIL GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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