Individual
PHILLIP T NIGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6703 159TH ST, SUITE 109, TINLEY PARK, IL 60477-1781
(708) 429-0907
(708) 429-0802
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.130530
IL
207X00000X
Orthopaedic Surgery Physician
229348
MA
207X00000X
Orthopaedic Surgery Physician
ME109031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14CN2
BCBS
FL
01
—
344919
AVMED
FL
01
—
9484418
CIGNA
FL
01
—
9845726
AETNA
FL
Enumeration date
04/12/2007
Last updated
08/31/2016
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