Pettye, Wanda

Pettye, Wanda is an sole proprietor health care provider with primary practice located at 3618 Western Ave , Park Forest IL 60466-2126. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pettye, Wanda can be contacted via phone (708) 228-0999.

Contact Information

Primary practice address
3618 Western Ave Park Forest IL 60466-2126
Phone: (708) 228-0999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043071327 Illinois

Profile Details

NPI number 1780998674
LBN Legal business name Pettye, Wanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2010
Last updated Aug 3rd, 2010 - about 16 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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