Lon J Petchenik in Rolling Meadows - Otolaryngology

Lon J Petchenik - NPI 1285630780

Lon J Petchenik is a Otolaryngology in Rolling Meadows, Illinois. Lon J Petchenik practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Lon J Petchenik is 1285630780. The last update date is 2022-11-17.

Lon J Petchenik's current location address is 5999 New Wilke Rd Bldg 1, Rolling Meadows, Illinois. You can contact this provider via phone number 8472592530 and fax number 8472594930. The mailing address for Lon J Petchenik is 5999 New Wilke Rd Bldg 1, Rolling Meadows, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lon J Petchenik
Address 5999 New Wilke Rd Bldg 1, Rolling Meadows, Illinois
Phone Number 8472592530
Fax Number 8472594930
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1285630780
Provider Enumeration Date 2005-06-21
Last Updated Date 2022-11-17

Provider Mailing Address Detail

Address 5999 New Wilke Rd Bldg 1
City Rolling Meadows
State Illinois (IL)
Post Code 6000845060
Phone Number 8472592530
Fax Number 8472594930

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 036-081936
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

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FAQs about Lon J Petchenik

What is the unique identifier code issued to Lon J Petchenik by the Centers for Medicare & Medicaid Services?

The Lon J Petchenik has been assigned the NPI (National Provider Identifier) 1285630780. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lon J Petchenik is located?

The Lon J Petchenik is situated at the following address: 5999 New Wilke Rd Bldg 1, Rolling Meadows, IL, 6000845060.

What is Lon J Petchenik's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lon J Petchenik's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.

On what date did the Lon J Petchenik receive its 1285630780 assignment from the Centers for Medicare & Medicaid Services?

The Lon J Petchenik was assigned its 1285630780 by the Centers for Medicare & Medicaid Services on 2005-06-21.

As of what date was the information pertaining to Lon J Petchenik, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lon J Petchenik, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-17.

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