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NPI Code Detail

MEDICARE: STEPHANIE PELLEGRINO

MEDICARE: STEPHANIE PELLEGRINO
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
1183500000XPharmacist059585NY

General Provider Information

NPI Number : 1710352323
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE PELLEGRINO
Provider Business Mailing Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 646-447-1049
Fax Number :
Provider Business Practice Location Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 888-898-6762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2015
Last Update Date : 08/11/2023

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Directions to “ STEPHANIE PELLEGRINO ” Practice Location

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