Pettigrew, Arthur S
Pettigrew, Arthur S is an individual health care provider with primary practice located at 396 Remington Blvd Ste 380 , Bolingbrook IL 60440-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pettigrew, Arthur S can be contacted via phone (224) 273-4000.Contact Information
Primary practice address
396 Remington Blvd Ste 380
Bolingbrook IL 60440-4302
Phone: (224) 273-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036101644 | Illinois |
Profile Details
| NPI number | 1699824482 |
|---|---|
| LBN Legal business name | Pettigrew, Arthur S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Mar 25th, 2021 - about 4 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 | 1699824482 | NPPES |
| Illinois | Other | 080158547 | RAILROAD MEDICARE PTAN |
| Illinois | Other | 399980 | RAILROAD MEDICARE PTAN |
| Illinois | MEDICAID | 036101644 | RAILROAD MEDICARE PTAN |
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