Tracy Bongiorno, P.A.-C

NPI #1285847384 in La Grange, Illinois

Provider Information

NPI Number
1285847384
Entity Type
Individual
Name
Tracy Bongiorno, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.-C
Enumeration Date
May 7, 2007
Last Updated
Dec 5, 2014

Practice Location

Address
4727 WILLOW SPRINGS RD
Address 2
UNIT 3S
ZIP Code
60525-6140
Phone
(708) 482-1099

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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