Dr. Lisa Marie Petrongelli
Psychologist Nurse Practitioner Health Service Group Psychotherapist and 6 more
1317 S Main St
Algonquin
, Illinois 60102-2758
Dr. Lisa Marie Petrongelli
Psychologist Nurse Practitioner Health Service Group Psychotherapist and 6 more
1317 S Main St
Algonquin
, Illinois 60102-2758
(847) 506-1400
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Clinical Child & Adolescent Psychologist
- Health Service
- Group Psychotherapist
- Nurse Practitioner
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Dr. Lisa Marie Petrongelli
- 1015 S Evergreen Ave
- Arlington Heights, IL
- Zip : 60005-3144
- Phone : (847) 506-1400
Second Address
- Dr. Lisa Marie Petrongelli
- 1317 S Main St
- Algonquin, IL
- Zip : 60102-2758
- Fax : (847) 748-4069
- Phone : (847) 748-4069
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | ||
| N | 103T00000X | Psychologist | ||
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
| N | 103TH0100X | Health Service | ||
| N | 103TP2701X | Group Psychotherapist | ||
| Y | 363L00000X | Nurse Practitioner | 209004881 | IL |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 277000902 | IL |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 277000902 | IL |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 277000902 | IL |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 277000902 | IL |
National Provider Identifier
| NPI | 1306281332 |
|---|---|
| Provider Name | Dr. Lisa Marie Petrongelli |
| First Address | Arlington Heights, IL 60005-3144 |
| Second Address | Algonquin, IL 60102-2758 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2013 |
| Last Update Date | 20/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.