Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | IL |
NPI | 1053323048 |
---|---|
Provider Name | Napoleon S Belo |
First Address | Morton Grove, IL 60053-1724 |
Second Address | Mchenry, IL 60050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 08/07/2007 |