Bongiorno, Tracy
Bongiorno, Tracy is an individual health care provider with primary practice located at 4727 Willow Springs Rd Unit 3S, La Grange IL 60525-6140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bongiorno, Tracy can be contacted via phone (708) 482-1099.Contact Information
Primary practice address
4727 Willow Springs Rd Unit 3S
La Grange IL 60525-6140
Phone: (708) 482-1099
Fax: (708) 482-0335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085002051 | Illinois |
Profile Details
| NPI number | 1285847384 |
|---|---|
| LBN Legal business name | Bongiorno, Tracy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Dec 5th, 2014 - about 11 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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