Joseph, Petra

Joseph, Petra is an individual health care provider with primary practice located at 1030 N Clark St , Chicago IL 60610-5467. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Joseph, Petra can be contacted via phone (312) 238-7800.

Contact Information

Primary practice address
1030 N Clark St Chicago IL 60610-5467
Phone: (312) 238-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036-061158 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-061158 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036-061158 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 036-061158 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036-061158 Illinois

Profile Details

NPI number 1679685234
LBN Legal business name Joseph, Petra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 26th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679685234 NPPES
Illinois Other 250011935 RAILROAD MEDICARE
Illinois MEDICAID 036061158 RAILROAD MEDICARE
Illinois Other 250011936 RAILROAD MEDICARE

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