Doctor Name: | MARIA G. BELLANTUONO |
NPI Number: | 1043624216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C |
License Number: | 178.009163 |
Business Practice Address: | 1642 W Colonial Pkwy 1st Floor Inverness, IL - 600674725 |
Business Phone Number: | 8475336224 |
Business Fax Number: | |
Mailing Address: | 2803 N Windsor Dr, ARLINGTON HEIGHTS |
State: | IL |
Postal Code: | 600042141 |
Phone Number: | 8479100371 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.009163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |