Individual
MS. ELIZABETH ROSE PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(630) 567-2000
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-2987
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004847
IL
363A00000X
Physician Assistant
11510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113653
NCCPA
—
Enumeration date
12/17/2013
Last updated
07/21/2022
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