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Individual

DR. WALTER PETRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(630) 275-5900
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036081726
IL
207L00000X
Anesthesiology Physician
336044061
IL
208VP0014X
Interventional Pain Medicine Physician
036081726
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036081726
IL
Enumeration date
05/19/2006
Last updated
12/20/2021
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