Provider Demographics
NPI:1538874524
Name:BELLO, YAHYA B (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YAHYA
Middle Name:B
Last Name:BELLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W GRACE ST APT 1704
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-5900
Mailing Address - Country:US
Mailing Address - Phone:312-241-0474
Mailing Address - Fax:
Practice Address - Street 1:810 W GRACE ST APT 1704
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-5900
Practice Address - Country:US
Practice Address - Phone:312-241-0474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051305324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist