Petty, Joann F

Petty, Joann F is an individual health care provider with primary practice located at 4405 Weaver Pkwy , Warrenville IL 60555-3269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Oncology, which is considered as her primary health care specialty. Petty, Joann F can be contacted via phone (630) 352-5300.

Contact Information

Primary practice address
4405 Weaver Pkwy Warrenville IL 60555-3269
Phone: (630) 352-5300
Fax: (630) 352-5499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 209004957 Illinois

Profile Details

NPI number 1780889626
LBN Legal business name Petty, Joann F
Credentials APN CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated May 18th, 2013 - about 12 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 1780889626 NPPES
Illinois Other 206147075 MEDICARE PTAN (INDIVIDUAL)
Illinois Other CA4748 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 206147 MEDICARE PTAN (INDIVIDUAL)
Illinois Other P01013439 MEDICARE PTAN (INDIVIDUAL)

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