Jerry P Petasnick is a Specialist in Chicago, Illinois. Jerry P Petasnick practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerry P Petasnick is 1316905201. The last update date is 2007-07-08.
Jerry P Petasnick's current location address is 1725 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3125634270 and fax number 3125634280. The mailing address for Jerry P Petasnick is 1725 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry P Petasnick |
|---|---|
| Address | 1725 W Harrison St, Chicago, Illinois |
| Phone Number | 3125634270 |
| Fax Number | 3125634280 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316905201 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1725 W Harrison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123841 |
| Phone Number | 3125634270 |
| Fax Number | 3125634280 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36038834 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry P Petasnick by the Centers for Medicare & Medicaid Services?
The Jerry P Petasnick has been assigned the NPI (National Provider Identifier) 1316905201 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jerry P Petasnick's facilities are situated?
The facilities of Jerry P Petasnick are physically located at the following address: 1725 W Harrison St, Chicago, IL, 606123841.
What is Jerry P Petasnick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry P Petasnick is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did Jerry P Petasnick receive its 1316905201 assignment from the Centers for Medicare & Medicaid Services?
The Jerry P Petasnick was assigned its 1316905201 on 2006-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerry P Petasnick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry P Petasnick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.