Provider Demographics
NPI:1619210192
Name:PIONTO, CLARE LOUISE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:LOUISE
Last Name:PIONTO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:LOUISE
Other - Last Name:ZOGRAPHOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 KISH HOSPITAL DR STE 103
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-9602
Mailing Address - Country:US
Mailing Address - Phone:630-232-0280
Mailing Address - Fax:630-232-3895
Practice Address - Street 1:5 KISH HOSPITAL DR STE 103
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-9602
Practice Address - Country:US
Practice Address - Phone:630-232-0280
Practice Address - Fax:630-232-3895
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010359363LA2200X
IL277003173363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041366170Medicaid
ILCA4748OtherMEDICARE RAILROAD (GROUP)
ILP0126733OtherMEDICARE RAILROAD (INDIVIDUAL)
IL206147246OtherMEDICARE PTAN (INDIVIDUAL)
IL206147OtherMEDICARE PTAN (GROUP)