Petrongelli, Lisa Marie

Petrongelli, Lisa Marie is an sole proprietor health care provider with primary practice located at 1317 S Main St , Algonquin IL 60102-2758. She recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Petrongelli, Lisa Marie can be contacted via phone (847) 748-4069.

Contact Information

Primary practice address
1317 S Main St Algonquin IL 60102-2758
Phone: (847) 748-4069
Fax: (847) 748-4069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 277000902 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000902 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277000902 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 277000902 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209004881 Illinois

Profile Details

NPI number 1306281332
LBN Legal business name Petrongelli, Lisa Marie
Credentials PSY.D, APRN-BC, FPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2013
Last updated Jul 20th, 2021 - about 3 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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