| Joanne Lagattolla, Pllc | |
|
1740 Ridge Ave Ste 109 Evanston IL 60201-5903 | |
| (224) 764-1211 | |
| (847) 483-5462 |
| Full Name | Joanne Lagattolla, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1740 Ridge Ave Ste 109, Evanston, Illinois |
| Authorized Official Name and Position | Joanne Barbara Lagattolla (OWNER) |
| Authorized Official Contact | 2247641211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Lagattolla, Pllc 1226 S New Wilke Rd Apt 104 Arlington Heights IL 60005-2955 Ph: (224) 764-1211 | Joanne Lagattolla, Pllc 1740 Ridge Ave Ste 109 Evanston IL 60201-5903 Ph: (224) 764-1211 |
| NPI Number | 1770210445 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770210445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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