Joseph, Petra
Joseph, Petra is an individual health care provider with primary practice located at 1030 N Clark St , Chicago IL 60610-5467. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Joseph, Petra can be contacted via phone (312) 238-7800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-061158 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036-061158 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 036-061158 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 036-061158 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036-061158 | Illinois |
Profile Details
| NPI number | 1679685234 |
|---|---|
| LBN Legal business name | Joseph, Petra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 26th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679685234 | NPPES |
| Illinois | Other | 250011935 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036061158 | RAILROAD MEDICARE |
| Illinois | Other | 250011936 | RAILROAD MEDICARE |
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