Individual
DR. ROBERT PETITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT-IL
Contact information
Practice address
4717 S GREENWOOD AVE, CHICAGO, IL 60615-1933
(773) 164-8190
Mailing address
4717 S GREENWOOD AVE, CHICAGO, IL 60615-1933
(773) 164-8190
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
166.000245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166.000245
STATE OF ILLINOIS
IL
Enumeration date
01/09/2019
Last updated
01/09/2019
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