Provider Demographics
NPI:1104939164
Name:BELLAMY-PEYTON, APRIL (MD)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:
Last Name:BELLAMY-PEYTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:BELLAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4700 W 95TH ST
Mailing Address - Street 2:SUITE LL2
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2533
Mailing Address - Country:US
Mailing Address - Phone:708-423-6400
Mailing Address - Fax:708-423-6428
Practice Address - Street 1:4700 W 95TH ST
Practice Address - Street 2:SUITE LL2
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2533
Practice Address - Country:US
Practice Address - Phone:708-423-6400
Practice Address - Fax:708-423-6428
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036078773208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036078773Medicaid
IL036078773Medicaid