SearchIllinois171100000X

Roseanne Pontillo, MSOM, L.AC.,BS

NPI 1760720676 · on the registry since 2013 · sole proprietor

Practice

Address
3306 Royal Woods Dr
Crystal Lake, IL 60014
Phone
(847) 602-2114

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
171100000X
Licence states on file
IL, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois