Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 036-088775 | IL |
NPI | 1558404251 |
---|---|
Provider Name | Dr. Angeline N Beltsos |
First Address | Chicago, IL 60622-2015 |
Second Address | Chicago, IL 60622-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 18/07/2017 |