Petrak, Allison Marie

Petrak, Allison Marie is an individual health care provider with primary practice located at 901 Mcclintock Drive Suite 202, Burr Ridge IL 60527-0872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petrak, Allison Marie can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Drive Suite 202 Burr Ridge IL 60527-0872
Phone: (888) 220-6432
Fax: (630) 734-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085004546 Illinois

Profile Details

NPI number 1558606053
LBN Legal business name Petrak, Allison Marie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Dec 17th, 2021 - about 5 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 1558606053 NPPES
Illinois Other 347710028 PTAN COOK

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