Petty, Cynthia Louise

Petty, Cynthia Louise is an individual health care provider with primary practice located at Uic, Ijr, 1747 West Roosevelt Road, M/C 747 Cu 113, Chicago IL 60608. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Petty, Cynthia Louise can be contacted via phone (312) 413-1136.

Contact Information

Primary practice address
Uic, Ijr, 1747 West Roosevelt Road, M/C 747 Cu 113 Chicago IL 60608
Phone: (312) 413-1136
Fax: (312) 413-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 209000709 Illinois

Profile Details

NPI number 1841437787
LBN Legal business name Petty, Cynthia Louise
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2009
Last updated Jan 14th, 2009 - about 15 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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