Provider Demographics
NPI:1205228475
Name:PALAGI, ELIZABETH (ATC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PALAGI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16825 SHANNON CT
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6551
Mailing Address - Country:US
Mailing Address - Phone:708-275-7847
Mailing Address - Fax:
Practice Address - Street 1:16825 SHANNON CT
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-6551
Practice Address - Country:US
Practice Address - Phone:708-275-7847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL096.0026412081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine