Angela Marie Petricca, MS CCC-SLP/L is a
Speech-language Pathologist based in Elk Grove Vlg, Illinois. Angela Marie Petricca is licensed to practice in Illinois (license number 146.011210) and her current practice location is
555 Jersey Ln, Elk Grove Vlg, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 293-4787.
NPI number for Angela Marie Petricca is 1649448770 and her current mailing address is 555 Jersey Ln, Elk Grove Vlg, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649448770.
Healthcare Provider's Profile
Full Name | Angela Marie Petricca |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 555 Jersey Ln, Elk Grove Vlg, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649448770
- Provider Enumeration Date: 02/11/2008
- Last Update Date: 09/11/2012
Medical Identifiers
Medical identifiers for Angela Marie Petricca such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649448770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146.011210 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Marie Petricca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Marie Petricca, MS CCC-SLP/L 555 Jersey Ln, Elk Grove Vlg, IL 60007-2765 Ph: () - | Angela Marie Petricca, MS CCC-SLP/L 555 Jersey Ln, Elk Grove Vlg, IL 60007-2765 Ph: (847) 293-4787 |
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