Provider Demographics
NPI:1073915005
Name:BRIDGET GREGORY PILEGGI
Entity Type:Organization
Organization Name:BRIDGET GREGORY PILEGGI
Other - Org Name:CHICAGO COUNSELING COLLABORATIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MARITAL AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:PILEGGI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:847-471-1124
Mailing Address - Street 1:5105 TOLLVIEW DR
Mailing Address - Street 2:SUITE 113
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3713
Mailing Address - Country:US
Mailing Address - Phone:847-471-1124
Mailing Address - Fax:
Practice Address - Street 1:5105 TOLLVIEW DR
Practice Address - Street 2:SUITE 113
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3713
Practice Address - Country:US
Practice Address - Phone:773-769-7543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000937106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty