| Organization Name: | BELLEVILLE ORTHOPEDICS, P.C. |
| NPI Number: | 1275618480 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARVEY L MIRLY (OWNER/PRESIDENT) |
| Mailing Address: | 4550 Memorial Dr Suite 460 Belleville |
| State: | IL US |
| Postal Code: | 622265359 |
| Phone Number: | 6182352900 |
| Fax Number: | 6182352902 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 01/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 036085921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |