Tracy Bongiorno in La Grange - Physician Assistant
Tracy Bongiorno - NPI 1285847384
Tracy Bongiorno is a Physician Assistant in La Grange, Illinois. Tracy Bongiorno practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Bongiorno is 1285847384. The last update date is 2014-12-05.
Tracy Bongiorno's current location address is 4727 Willow Springs Rd, La Grange, Illinois. You can contact this provider via phone number 7084821099 and fax number 7084820335. The mailing address for Tracy Bongiorno is 4727 Willow Springs Rd, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Bongiorno |
|---|---|
| Address | 4727 Willow Springs Rd, La Grange, Illinois |
| Phone Number | 7084821099 |
| Fax Number | 7084820335 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1285847384 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2014-12-05 |
Provider Mailing Address Detail
| Address | 4727 Willow Springs Rd |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605256140 |
| Phone Number | 7084821099 |
| Fax Number | 7084820335 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002051 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Tracy Bongiorno by the Centers for Medicare & Medicaid Services?
The Tracy Bongiorno has been issued the NPI (National Provider Identifier) 1285847384. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tracy Bongiorno?
The Tracy Bongiorno is physically situated at 4727 Willow Springs Rd, in the city of La Grange, state of IL, with the postal code 605256140.
What is the Tracy Bongiorno's area of specialization and corresponding taxonomy classification?
The Tracy Bongiorno's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1285847384 to Tracy Bongiorno?
The Centers for Medicare & Medicaid Services assigned the 1285847384 to Tracy Bongiorno on 2007-05-07.
As of what date were the details pertaining to Tracy Bongiorno last refreshed?
The information related to the Tracy Bongiorno, including its address, specialty, and other relevant details, was last updated on 2014-12-05.
NPI Number: 1235130048
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