Provider Demographics
NPI:1629129788
Name:FIGLIOLI, STEPHANIE BRIDGET (PT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:BRIDGET
Last Name:FIGLIOLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2414
Mailing Address - Country:US
Mailing Address - Phone:847-784-5036
Mailing Address - Fax:
Practice Address - Street 1:375 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2414
Practice Address - Country:US
Practice Address - Phone:847-784-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070007845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1625668OtherBLUE CROSS BLUE SHIELD