Provider Demographics
NPI:1619337789
Name:PILEGGI, BRIDGET GREGORY (LMFT)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:GREGORY
Last Name:PILEGGI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:847-471-1124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000937106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist