Marykay Petges is a Pediatrics in Poplar Grove, Illinois. Marykay Petges practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marykay Petges is 1295938645. The last update date is 2007-07-08.
Marykay Petges's current location address is 101 Birch Dr Sw, Poplar Grove, Illinois. You can contact this provider via phone number 8157651418 and fax number 8157650971. The mailing address for Marykay Petges is 101 Birch Dr Sw, Poplar Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marykay Petges |
|---|---|
| Address | 101 Birch Dr Sw, Poplar Grove, Illinois |
| Phone Number | 8157651418 |
| Fax Number | 8157650971 |
| Sole Proprietor | Y |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1295938645 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 101 Birch Dr Sw |
|---|---|
| City | Poplar Grove |
| State | Illinois (IL) |
| Post Code | 610658962 |
| Phone Number | 8157651418 |
| Fax Number | 8157650971 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
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Post Comment/ Review Below
What is the Marykay Petges's 1295938645?
The Marykay Petges's NPI (National Provider Identifier) Number is 1295938645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marykay Petges?
The Marykay Petges is situated at 101 Birch Dr Sw, in the city of Poplar Grove, state of IL, with the zip code 610658962.
What is Marykay Petges's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marykay Petges's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 163Wp0200X.
When did the Marykay Petges receive its 1295938645?
The Marykay Petges was issued its 1295938645 on 2007-06-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Marykay Petges most recently updated or revised?
The information pertaining to Marykay Petges, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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