1124011788 NPI number — DR. BREEZE EVELYN BELLEN O.D.

Table of content: DR. BREEZE EVELYN BELLEN O.D. (NPI 1124011788)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124011788 NPI number — DR. BREEZE EVELYN BELLEN O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELLEN
Provider First Name:
BREEZE
Provider Middle Name:
EVELYN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FEILER
Provider Other First Name:
BREEZE
Provider Other Middle Name:
EVELYN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
O.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1124011788
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
519 W MELROSE ST
Provider Second Line Business Mailing Address:
APT 412
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60657-3764
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-505-7039
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4740 N LINCOLN AVE
Provider Second Line Business Practice Location Address:
FL 1
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60625-2247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-275-2900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  046009782 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)