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NPI Code Detail

MEDICARE: DR. SHANNON MARIE ALLEGRETTI PSY.D.

MEDICARE:  DR. SHANNON MARIE ALLEGRETTI  PSY.D.
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
1103TC2200XClinical Child & Adolescent Psychologist071005853IL
2103TC1900XCounseling Psychologist071005853IL
3103TF0000XFamily Psychologist071005853IL
4103TC0700XClinical Psychologist071005853IL
5103TB0200XCognitive & Behavioral Psychologist071005853IL
6103TP0814XPsychoanalysis Psychologist071005853IL
7103TP2701XGroup Psychotherapy Psychologist071005853IL
8103T00000XPsychologist071005853IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1118891250288OTHERILHUMANA
202232050OTHERILBLUE CROSS BLUE SHIELD
34844333000OTHERILMAGELLAN

General Provider Information

NPI Number : 1407989080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON MARIE ALLEGRETTI PSY.D.
Provider Business Mailing Address
First Line : 2323 DOWNING AVE
Second Line :
City : WESTCHESTER
State : IL
Zip : 60154-5148
Country : US
Telephone Number : 630-472-0911
Fax Number :
Provider Business Practice Location Address
First Line : 640 S WASHINGTON ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6603
Country : US
Telephone Number : 815-942-6323
Fax Number : 815-942-6323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 02/19/2026

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