MEDICARE: MRS. JOVANNA FEREGRINO

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	171R00000X	Interpreter		IL

General Provider Information

NPI Number	:	1316116007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOVANNA FEREGRINO

Provider Business Mailing Address
First Line	:	3804 N ALBANY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3412
Country	:	US
Telephone Number	:	773-310-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	3804 N ALBANY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3412
Country	:	US
Telephone Number	:	773-310-4780
Fax Number	:

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

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	02/26/2008

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