Organization
DENISE J PETENZI, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE PETENZI DPM (OWNER)
(312) 505-0156
Entity
Organization
Contact information
Practice address
2644 N WAYNE AVE APT C, CHICAGO, IL 60614-6783
(312) 505-0156
Mailing address
2644 N WAYNE AVE, UNIT C, CHICAGO, IL 60614-1222
(312) 505-0156
(773) 529-3911
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005107
—
IL
Enumeration date
09/15/2016
Last updated
12/28/2023
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