Karen L. Petracek in Oak Lawn - Physician Assistant

Karen L. Petracek - NPI 1720161110

Karen L. Petracek is a Physician Assistant in Oak Lawn, Illinois. Karen L. Petracek practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Karen L. Petracek is 1720161110. The last update date is 2022-02-17.

Karen L. Petracek's current location address is 4440 W 95th St Ste 1332h, Oak Lawn, Illinois. You can contact this provider via phone number 7086842016. The mailing address for Karen L. Petracek is 4440 W 95th St Ste 1332h, Oak Lawn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen L. Petracek
Address 4440 W 95th St Ste 1332h, Oak Lawn, Illinois
Phone Number 7086842016
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1720161110
Provider Enumeration Date 2006-10-23
Last Updated Date 2022-02-17

Provider Mailing Address Detail

Address 4440 W 95th St Ste 1332h
City Oak Lawn
State Illinois (IL)
Post Code 604532600
Phone Number 7086842016
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 085-002620
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Karen L. Petracek

What is the unique 10-digit identifier code assigned to Karen L. Petracek by the Centers for Medicare & Medicaid Services?

The Karen L. Petracek has been issued the NPI (National Provider Identifier) 1720161110 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Karen L. Petracek is located?

The Karen L. Petracek is situated at the following address: 4440 W 95Th St Ste 1332H, Oak Lawn, IL, 604532600.

What is Karen L. Petracek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Karen L. Petracek is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Karen L. Petracek receive its 1720161110 assignment from the Centers for Medicare & Medicaid Services?

The Karen L. Petracek was assigned its 1720161110 by the Centers for Medicare & Medicaid Services on 2006-10-23.

As of what date were the Karen L. Petracek's details last updated?

The information pertaining to the Karen L. Petracek, including its address, specialty, and other details, was most recently updated on 2022-02-17.

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