Healthcare Provider Details

I. General information

NPI: 1720693377
Provider Name (Legal Business Name): ALLEGRETTI FAMILY WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S VINE ST
HINSDALE IL
60521-4039
US

IV. Provider business mailing address

6702 WESTERN AVE
DARIEN IL
60561-3853
US

V. Phone/Fax

Practice location:
  • Phone: 331-251-1175
  • Fax:
Mailing address:
  • Phone: 312-450-4336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA M ALLEGRETTI
Title or Position: PRESIDENT
Credential:
Phone: 312-450-4336