Individual
THOMAS PETTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8020 W 87TH ST, HICKORY HILLS, IL 60457-1189
(708) 995-3758
Mailing address
8020 W 87TH ST, HICKORY HILLS, IL 60457-1189
(708) 995-3758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35727
IL
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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