Angeletti, Gina Pongetti

Angeletti, Gina Pongetti is an individual health care provider with primary practice located at 7055 High Grove Blvd , Burr Ridge IL 60527-7593. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Angeletti, Gina Pongetti can be contacted via phone (630) 371-1623.

Contact Information

Primary practice address
7055 High Grove Blvd Burr Ridge IL 60527-7593
Phone: (630) 371-1623
Fax: (630) 371-1546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070013170 Illinois

Profile Details

NPI number 1851333694
LBN Legal business name Angeletti, Gina Pongetti
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 8th, 2015 - about 9 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 1851333694 NPPES
Illinois Other 1623066 BCBS PROVIDER NUMBER

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