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Contact Information

BARIATRIC SPECIALISTS OF ILLINOIS
1625 S STATE ST
BELVIDERE, IL61008-5907
 Phone: 815-544-1360
 Fax: 815-547-5394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BARIATRIC SPECIALISTS OF ILLINOIS · (Female)

NPI Number 1740201755
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • Other 00432012 BCBS PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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