Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 096.002641 | IL |
Y | 213ES0000X | Sports Medicine | 096.002641 | IL |
NPI | 1205228475 |
---|---|
Provider Name | Elizabeth Palagi |
First Address | Tinley Park, IL 60477-6551 |
Second Address | Tinley Park, IL 60477-6551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2015 |
Last Update Date | 25/02/2015 |