| Doctor Name: | ERIC BELLM |
| NPI Number: | 1114213196 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2011019590 |
| Business Practice Address: | 852 Green Bay Rd Winnetka, IL - 600931853 |
| Business Phone Number: | 8474415788 |
| Business Fax Number: | 8477848720 |
| Mailing Address: | 852 Green Bay Rd, WINNETKA |
| State: | IL |
| Postal Code: | 600931853 |
| Phone Number: | 8474415788 |
| Fax Number: | 8477848720 |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 2011019590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |