Provider Demographics
NPI:1518570209
Name:PILLAR BELLA CORPORATION
Entity type:Organization
Organization Name:PILLAR BELLA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:773-677-9689
Mailing Address - Street 1:6500 W COLLEGE DR STE 101E
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1773
Mailing Address - Country:US
Mailing Address - Phone:773-502-0080
Mailing Address - Fax:
Practice Address - Street 1:6500 W COLLEGE DR STE 101E
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1773
Practice Address - Country:US
Practice Address - Phone:773-502-0080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care