| Bellisima Laser Aesthetics And Wellness Clinic, L.l.c. | |
|
1001 E Main St Suite 4d Carbondale IL 62901-3100 | |
| (618) 751-4121 | |
| Not Available |
| Full Name | Bellisima Laser Aesthetics And Wellness Clinic, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 E Main St, Carbondale, Illinois |
| Authorized Official Name and Position | Victoria Zavala (MEDICAL DOCTOR) |
| Authorized Official Contact | 6187514121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellisima Laser Aesthetics And Wellness Clinic, L.l.c. 1001 E Main St Suite 4d Carbondale IL 62901-3100 Ph: (618) 751-4121 | Bellisima Laser Aesthetics And Wellness Clinic, L.l.c. 1001 E Main St Suite 4d Carbondale IL 62901-3100 Ph: (618) 751-4121 |
| NPI Number | 1568745776 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568745776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 336.088977 (Illinois) | Primary |
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