Pettitt, Antoinette M
Pettitt, Antoinette M is an individual health care provider with primary practice located at 457 East 87Th Street , Chicago IL 60619. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Pettitt, Antoinette M can be contacted via phone (773) 994-4433.Contact Information
Primary practice address
457 East 87Th Street
Chicago IL 60619
Phone: (773) 994-4433
Fax: (773) 994-9846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 021.001448 | Illinois |
Profile Details
| NPI number | 1609263086 |
|---|---|
| LBN Legal business name | Pettitt, Antoinette M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2015 |
| Last updated | Apr 23rd, 2015 - about 11 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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