Angela Wilson Pennisi & Associates, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011327 Issued in IL

Legal business name

ANGELA WILSON PENNISI & ASSOCIATES, PC

Practice address

25 E Washington St Ste 1310
Chicago, IL 60602-1863

Phone

(773) 665-9950

Fax

(773) 665-9947

NPI assigned

Feb 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela Wilson Pennisi, PT

Title

President

Phone

(773) 665-9950

Specialties & licenses 1

Addresses

Other names 1

• PhysioPartners Premier Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486166400000",
    "number": "1265970701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574201",
            "telephone_number": "773-665-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021863",
            "telephone_number": "773-665-9950",
            "fax_number": "773-665-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA WILSON PENNISI & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A",
        "authorized_official_last_name": "PENNISI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-665-9950",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioPartners Premier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy M Angel, P.T.
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• Angela Derrick, PH.D., LLC
• Angela Hunsicker LCSW PLLC
• Georgia Angelakos, L.C.P.C.
• Angelcare and Medical Equipment Supply Company Inc
• Angeles Express Corp
• Angeles Valdes Podiatry Center PC
• Jennifer L Angeles

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.