Individual
ETHAN PETTIWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
500 N KINGSBURY ST, CHICAGO, IL 60654-5721
(312) 527-5801
(312) 644-4567
Mailing address
500 KINGSBURY, CHICAGO, IL 60654
(312) 527-5801
(312) 644-4567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014987
IL
Other
Enumeration date
02/21/2007
Last updated
12/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us