Provider Demographics
NPI:1659428894
Name:PAWN SCARPELLI, LTD
Entity Type:Organization
Organization Name:PAWN SCARPELLI, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARPELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-409-4776
Mailing Address - Street 1:4 SOMERSET CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6112
Mailing Address - Country:US
Mailing Address - Phone:847-409-4776
Mailing Address - Fax:
Practice Address - Street 1:4 SOMERSET CT
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6112
Practice Address - Country:US
Practice Address - Phone:847-409-4776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IL133VN1004X, 225100000X, 225100000X, 235Z00000X, 235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered251E00000XAgenciesHome Health
Not Answered133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty