Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 180.009254 | IL |
NPI | 1003102484 |
---|---|
Provider Name | Jenna Marie Pileggi |
First Address | Arlington Heights, IL 60005-1533 |
Second Address | Arlington Heights, IL 60005-1533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 06/08/2015 |