DR. BELLA Y BAZ (NPI# 1770533648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770533648 |
| Entity Type | Individual |
| Full Name | DR. BELLA Y BAZ |
| Credential | MD |
| Practice Address |
516 S Chestnut St Wenona IL 61377-0250 |
| Mailing Address |
516 S Chestnut St Po Box 250 Wenona IL 61377-0250 |
| Practice Telephone | 8158534402 |
| Practice Fax Number | 8158534200 |
| Mailing Telephone | 8158534402 |
| Mailing Fax Number | 8158534200 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 0006200024 | 01 |
| IL | HEALTH ALLIANCE | 022250 | 01 |
| IL | AETNA | 4581217 | 01 |
| Street Address |
516 S CHESTNUT ST |
| City | WENONA |
| State | IL |
| Zip Code | 61377-0250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316358187 | Hshs Medical Group Inc | Clinic/Center | 516 S Chestnut St, Wenona, IL 61377-7526 | 2014-05-15 |
| 1699066084 | Jawaria T Suhail | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2011-04-20 |
| 1386671709 | Angela Martinez | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2006-06-28 |
| 1689624470 | Samuel T Baz | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| 1376684738 | Eastern Marshall County Ems | Ambulance | 210 North Chestnut St, Wenona, IL 61377-0708 | 2007-02-09 |
| 1255312823 | Tyner Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 120 N Chestnut St, Wenona, IL 61377-7527 | 2005-11-09 |
| 1144336439 | Sharshon Pharmacy Inc | Pharmacy | 120 N Chestnut St, Wenona, IL 61377-7527 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| 1376684738 | Eastern Marshall County Ems | Ambulance | 210 North Chestnut St, Wenona, IL 61377-0708 | 2007-02-09 |
| 1255312823 | Tyner Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 120 N Chestnut St, Wenona, IL 61377-7527 | 2005-11-09 |
| 1316358187 | Hshs Medical Group Inc | Clinic/Center | 516 S Chestnut St, Wenona, IL 61377-7526 | 2014-05-15 |
| 1699066084 | Jawaria T Suhail | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2011-04-20 |
| 1144336439 | Sharshon Pharmacy Inc | Pharmacy | 120 N Chestnut St, Wenona, IL 61377-7527 | 2006-08-21 |
| 1386671709 | Angela Martinez | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2006-06-28 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.