Individual
LINDA M PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7300 191ST ST, TINLEY PARK, IL 60487-9361
(815) 806-3210
Mailing address
7300 191ST ST, TINLEY PARK, IL 60487-9361
(815) 806-3210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.011975
IL
Other
Enumeration date
12/22/2014
Last updated
10/09/2015
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