Individual provider Active NPI

Antonio F Pugliese, DN

  • Naprapath
  • Elmwood Park, IL
National Provider Identifier
1386948784
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181000237 Issued in IL
Practice address
2502 N Harlem Ave
Elmwood Park, IL 60707-2020
Phone
(708) 308-8669
Fax
(708) 452-6043
NPI assigned
Dec 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 181000237 IL
Naprapath 172P00000X 181000237 IL Primary

Addresses

Primary practice location

2502 N Harlem Ave
Elmwood Park, IL 60707-2020

Mailing address

2502 N Harlem Ave
Elmwood Park, IL 60707-2020
Phone (708) 308-8669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
181000237ILMDNaprapath

Practice roles

OrganizationSpecialtyStatusNew patients
Driven Wellness CurrentSince Dec 22, 2020 Accepting new patients
Antonio F Pugliese, DN Acupuncturist Past Accepting new patients

Locations

3535 Rose St
Unit A
Franklin Park, IL 60131
Phone (708) 308-8669

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1386948784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072020",
            "telephone_number": "708-308-8669",
            "fax_number": "708-452-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072020",
            "telephone_number": "708-308-8669",
            "fax_number": "708-452-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "ANTONIO",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "181000237",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.