Petrucci, Jasper A

Petrucci, Jasper A is an individual health care provider with primary practice located at 2525 Kaneville Rd , Geneva IL 60134-2578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Petrucci, Jasper A can be contacted via phone (630) 584-1400.

Contact Information

Primary practice address
2525 Kaneville Rd Geneva IL 60134-2578
Phone: (630) 584-1400
Fax: (630) 584-1733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-109437 Illinois

Profile Details

NPI number 1659342343
LBN Legal business name Petrucci, Jasper A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 28th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659342343 NPPES
Illinois MEDICAID 036109437
Illinois Other P00185930
Illinois Other CF2064

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