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NPI Code Detail

MEDICARE: NICHOLAS BRIGAGLIANO

MEDICARE:   NICHOLAS  BRIGAGLIANO
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
1101Y00000XCounselor180.009556IL

General Provider Information

NPI Number : 1851784375
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS BRIGAGLIANO
Provider Business Mailing Address
First Line : 4140 N PHEASANT TRAIL CT UNIT 7
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7992
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 COVENTRY LN STE 205
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-7555
Country : US
Telephone Number : 815-455-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2015
Last Update Date : 03/08/2015

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Directions to “ NICHOLAS BRIGAGLIANO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.