MEDICARE: LAUREN ALLEGRETTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019029799	IL

General Provider Information

NPI Number	:	1952783193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ALLEGRETTI

Provider Business Mailing Address
First Line	:	15 S THROOP ST
Second Line	:	APT 503
City	:	CHICAGO
State	:	IL
Zip	:	60607-2517
Country	:	US
Telephone Number	:	847-630-7745
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 S THROOP ST
Second Line	:	APT 503
City	:	CHICAGO
State	:	IL
Zip	:	60607-2517
Country	:	US
Telephone Number	:	847-630-7745
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	06/24/2015

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Directions to “ LAUREN ALLEGRETTI ” Practice Location

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