Amoroso, Pantaleo J

Amoroso, Pantaleo J is an individual health care provider with primary practice located at 675 W North Ave Suite 609, Melrose Park IL 60160-1634. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Amoroso, Pantaleo J can be contacted via phone (708) 450-5770.

Contact Information

Primary practice address
675 W North Ave Suite 609 Melrose Park IL 60160-1634
Phone: (708) 450-5770
Fax: (708) 681-7675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3647630 Illinois

Profile Details

NPI number 1376594655
LBN Legal business name Amoroso, Pantaleo J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376594655 NPPES
Illinois Other 21609229 BCBS IL PROVIDER NO.
Illinois Other 3647630 BCBS IL PROVIDER NO.
Illinois Other 701258 BCBS IL PROVIDER NO.

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