Individual
DARI ANN UNGARETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1710 N RANDALL RD, SUITE 380, ELGIN, IL 60123-9400
(847) 742-1000
(847) 742-1144
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036097381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097381
—
IL
01
—
04530336
BCBS PROVIDER ID
IL
01
—
070016282
RAILROAD MEDICARE
IL
01
—
P00611330
RAILROAD MEDICARE
IL
Enumeration date
09/22/2005
Last updated
03/10/2009
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