Pettey, Brian Matthew

Pettey, Brian Matthew is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Pettey, Brian Matthew can be contacted via phone (847) 318-9300.

Contact Information

Primary practice address
1675 Dempster St Park Ridge IL 60068-1110
Phone: (847) 318-9300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125084522 Illinois

Profile Details

NPI number 1700638954
LBN Legal business name Pettey, Brian Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2024
Last updated Jun 14th, 2024 - about last year

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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