Bielkus, Regina B

Bielkus, Regina B is an sole proprietor health care provider with primary practice located at 1055 Featherstone Rd Suite C, Rockford IL 61107-5904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bielkus, Regina B can be contacted via phone (815) 231-2502.

Contact Information

Primary practice address
1055 Featherstone Rd Suite C Rockford IL 61107-5904
Phone: (815) 231-2502
Fax: (815) 231-2505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36-066031 Illinois

Profile Details

NPI number 1548243819
LBN Legal business name Bielkus, Regina B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Nov 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548243819 NPPES
Illinois MEDICAID 036066031
Illinois Other 0010100633
Illinois Other 008609

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