Individual
DR. RUDOLPH J. PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14 S ADDISON ST, BENSENVILLE, IL 60106-2126
(630) 766-8720
(630) 766-9228
Mailing address
14 S ADDISON ST, BENSENVILLE, IL 60106-2126
(630) 766-8720
(630) 766-9228
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003067
—
IL
Enumeration date
07/24/2006
Last updated
01/29/2016
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