Pellegrini, Lisa C

Pellegrini, Lisa C is an individual health care provider with primary practice located at 1250 N Mill St Ste 100, Naperville IL 60563-6304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Pellegrini, Lisa C can be contacted via phone (630) 646-8000.

Contact Information

Primary practice address
1250 N Mill St Ste 100 Naperville IL 60563-6304
Phone: (630) 646-8000
Fax: (630) 646-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036099958 Illinois

Profile Details

NPI number 1801849161
LBN Legal business name Pellegrini, Lisa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 20th, 2009 - about 15 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 1801849161 NPPES
Illinois MEDICAID 036099958 2
Illinois Other 2220936

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