Individual
MRS. CLARE LOUISE PIONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5 KISH HOSPITAL DR STE 103, DEKALB, IL 60115-9602
(630) 232-0280
(630) 232-3895
Mailing address
5 KISH HOSPITAL DR STE 103, DEKALB, IL 60115-9602
(630) 232-0280
(630) 232-3895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277003173
IL
363LA2200X
Adult Health Nurse Practitioner
209010359
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041366170
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147246
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P0126733
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
04/03/2013
Last updated
10/23/2024
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