Minerof, Peta

Minerof, Peta is an sole proprietor health care provider with primary practice located at 4201 Lake Cook Rd Ste 300 , Northbrook IL 60062-1060. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Minerof, Peta can be contacted via phone (847) 871-9900.

Contact Information

Primary practice address
4201 Lake Cook Rd Ste 300 Northbrook IL 60062-1060
Phone: (847) 871-9900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004669 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.0017123 Illinois

Profile Details

NPI number 1558421438
LBN Legal business name Minerof, Peta
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Feb 16th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558421438 NPPES
Illinois Other 016004669 DPM

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