Provider Demographics
NPI:1770210445
Name:JOANNE LAGATTOLLA, PLLC
Entity type:Organization
Organization Name:JOANNE LAGATTOLLA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:LAGATTOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-764-1211
Mailing Address - Street 1:1226 S NEW WILKE RD APT 104
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2955
Mailing Address - Country:US
Mailing Address - Phone:224-764-1211
Mailing Address - Fax:847-483-5462
Practice Address - Street 1:1740 RIDGE AVE STE 109
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5903
Practice Address - Country:US
Practice Address - Phone:224-764-1211
Practice Address - Fax:847-483-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty