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Individual

LISA C PELLEGRINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036099958
IL
2084P0800X
Psychiatry Physician
036099958
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036099958 2
IL
01
2220936
BCBS
IL
Enumeration date
05/18/2006
Last updated
09/16/2025
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