Healthcare Provider Details

I. General information

NPI: 1568403285
Provider Name (Legal Business Name): MONICA D PIGATO C.R.N.A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 CRAWFORD AVE
OLYMPIA FIELDS IL
60461-1010
US

IV. Provider business mailing address

20201 CRAWFORD AVE
OLYMPIA FIELDS IL
60461-1010
US

V. Phone/Fax

Practice location:
  • Phone: 708-503-3857
  • Fax: 708-503-3806
Mailing address:
  • Phone: 708-503-3857
  • Fax: 708-503-3806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number041319498
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209003520
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: