Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bellisima Laser Aesthetics and Wellness Clinic, LLC

Organization Internal Medicine Physician · NPI 1568745776

Bellisima Laser Aesthetics and Wellness Clinic, LLC is an Internal Medicine Physician in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 E Main St Ste 4D
Carbondale, IL 62901-3100
Phone: (618) 751-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 336.088977 (IL)

Record details

NPI number1568745776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Zavala — Medical Doctor · (618) 751-4121
NPI enumeratedSeptember 23, 2011
Last updated in NPPESSeptember 23, 2011
Mailing address1001 E Main St, Suite 4d, Carbondale, IL 62901-3100

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