Individual
JENNIFER A. PALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
521 E 86TH AVE STE Z, MERRILLVILLE, IN 46410-6236
(219) 769-0777
(219) 755-0608
Mailing address
521 E 86TH AVE STE Z, MERRILLVILLE, IN 46410-6236
(219) 769-0777
(219) 755-0608
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036084506
IL
2084N0400X
Neurology Physician
297065
NY
2084N0400X
Neurology Physician
62273
CT
2084P0800X
Psychiatry Physician
Primary
02001957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036084506
MEDICAID
IL
01
—
201614
MEDICARE PTAN (GROUP)
IL
01
—
84101
ANTHEM
—
01
—
F400160547
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
01/18/2007
Last updated
06/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us