Individual
DR. PANTALEO J AMOROSO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 W NORTH AVE, SUITE 609, MELROSE PARK, IL 60160-1634
(708) 450-5770
(708) 681-7675
Mailing address
675 W NORTH AVE, SUITE 609, MELROSE PARK, IL 60160-1634
(708) 450-5770
(708) 681-7675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3647630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21609229
BCBS IL PROVIDER NO.
IL
01
—
3647630
LICENSE NUMBER
IL
01
—
701258
UNITED HEALTHCARE
IL
Enumeration date
05/12/2006
Last updated
07/21/2022
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