Provider Demographics
NPI:1922008333
Name:ALLEGRETTI, JOSEPH P (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:ALLEGRETTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HIGHLAND AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1558
Mailing Address - Country:US
Mailing Address - Phone:630-701-3840
Mailing Address - Fax:630-574-8225
Practice Address - Street 1:3000 N HALSTED ST STE 721
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6185
Practice Address - Country:US
Practice Address - Phone:630-701-3840
Practice Address - Fax:630-574-1516
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036093344207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036093344Medicaid
IL036093344Medicaid
ILCC3183Medicare PIN
ILK21620Medicare PIN
ILP00314092Medicare PIN
IL040014672Medicare PIN
IL040015303Medicare PIN
ILDE2650Medicare PIN
IL548410Medicare PIN
IL212417Medicare PIN
IL548590Medicare PIN
IL040015302Medicare PIN
IL501100Medicare PIN
ILL66387Medicare PIN