Pettit, Shannon C.
Pettit, Shannon C. is an individual health care provider with primary practice located at 133 E Brush Hill Rd Ste 308 , Elmhurst IL 60126-5662. She 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 / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Pettit, Shannon C. can be contacted via phone (331) 221-9006.Contact Information
Primary practice address
133 E Brush Hill Rd Ste 308
Elmhurst IL 60126-5662
Phone: (331) 221-9006
Fax: (331) 221-2734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036165765 | Illinois |
Profile Details
| NPI number | 1134758881 |
|---|---|
| LBN Legal business name | Pettit, Shannon C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2020 |
| Last updated | Jul 22nd, 2024 - about 2 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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