Pennisi, Angela Wilson

Pennisi, Angela Wilson is an individual health care provider with primary practice located at 2929 N Southport Ave , Chicago IL 60657-6945. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pennisi, Angela Wilson can be contacted via phone (773) 665-9950.

Contact Information

Primary practice address
2929 N Southport Ave Chicago IL 60657-6945
Phone: (773) 665-9950
Fax: (773) 665-9947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-011327 Illinois

Profile Details

NPI number 1881673671
LBN Legal business name Pennisi, Angela Wilson
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 30th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881673671 NPPES
Illinois Other 070-011327 STATE LICENSE

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