Organization Active NPI

Nora T. Bellosa, M.D.,S.C.

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
National Provider Identifier
1982148383
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036053389 Issued in IL
Legal business name
NORA T. BELLOSA, M.D.,S.C.
Practice address
10448 S Pulaski Rd
Oak Lawn, IL 60453-4895
Phone
(708) 425-5544
Fax
(708) 425-0002
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nora T Bellosa, M.D.
Title
Owner
Phone
(708) 425-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036053389 IL Primary

Addresses

Primary practice location

10448 S Pulaski Rd
Oak Lawn, IL 60453-4895

Mailing address

10448 S Pulaski Rd
Oak Lawn, IL 60453-4895
Phone (708) 425-5544

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2152762Nora T Bellosa M D10448 S Pulaski, Oak Lawn, IL 60453Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1982148383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534895",
            "telephone_number": "708-425-5544",
            "fax_number": "708-425-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534895",
            "telephone_number": "708-425-5544",
            "fax_number": "708-425-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA T. BELLOSA, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "BELLOSA",
        "authorized_official_first_name": "NORA T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-425-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036053389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.