Individual
ALLISON MARIE PETRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
901 MCCLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 734-4715
Mailing address
901 MCCLINTOCK DRIVE, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347710028
PTAN COOK
IL
Enumeration date
12/10/2012
Last updated
12/17/2021
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