Jennifer R Bello Kottenstette | Oak Park, IL • PECOS Search

Jennifer R Bello Kottenstette

Family Medicine

Allopathic & Osteopathic Physicians

14 Lake St, Pcc Lake Street Family Health Center, Oak Park, IL 60302-2606

(708) 383-0113 (708) 763-2369

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer R Bello Kottenstette does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1679733372
Provider Type
Individual
Full Name
Bello Kottenstette, Jennifer R
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/16/2008
Last Updated
4/24/2013

Contact Information

Practice Location

14 Lake St, Pcc Lake Street Family Health Center, Oak Park, IL 60302-2606

(708) 383-9911

Mailing Location

1 Erie Ct Ste 4110, West Suburban Medical Center, Oak Park, IL 60302-2566

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 125054977 Illinois