# ANNE M PETRE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134125164
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 036-091695 | IL | — |
| 207Q00000X | Family Medicine Physician | 036091695 | IL | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 09/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 020355 | HEALTH ALLIANCE | — |
| 05 | — | 036091695 | — | IL |
| 01 | — | 20083 | IOWA HEALTH SOLUTIONS | — |
| 01 | — | 4796890020 | DMERC | — |
| 01 | — | 90800 | WELLMARK BC/BS | — |
| 01 | — | IL01F1 | JOHN DEERE | — |