Provider Demographics
NPI:1447309208
Name:BELLAR, BARBARA R (MD, JD, MA, MPH)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:R
Last Name:BELLAR
Suffix:
Gender:F
Credentials:MD, JD, MA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 OXFORD CT
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-5249
Mailing Address - Country:US
Mailing Address - Phone:630-917-3200
Mailing Address - Fax:630-932-4332
Practice Address - Street 1:800 E 55TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615
Practice Address - Country:US
Practice Address - Phone:773-702-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036096929207Q00000X, 207P00000X
IN01058238A207Q00000X
WI46026-020207Q00000X
MI4301503319207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036096929Medicaid
IL036096929Medicaid