Petrelli, Charise Marie
Petrelli, Charise Marie is an individual health care provider with primary practice located at 577 Pennsylvania Ave Suite 100, Glen Ellyn IL 60137-8302. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Petrelli, Charise Marie can be contacted via phone (630) 942-0727.Contact Information
Primary practice address
577 Pennsylvania Ave Suite 100
Glen Ellyn IL 60137-8302
Phone: (630) 942-0727
Fax: (630) 942-0136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1891867073 |
|---|---|
| LBN Legal business name | Petrelli, Charise Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
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