Alyssa Michelle Petko, O.D.

Optometrist · Chicago, IL

Individual Active NPI

NPI number 1336021187

Practice location

111 S Franklin St
Chicago, IL 60606-4628
Phone
(312) 265-0444
Fax
(312) 929-4213

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NPI record

NPI
1336021187
Entity type
Individual (Type 1)
Enumeration date
July 23, 2025
Last updated
July 23, 2025
Certified
July 23, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046.012008 IL

Mailing address

5 N Wabash Ave Apt 1505
Chicago, IL 60602-4743
Phone
(847) 275-1291

Other practice locations (2)

  • 25 E Washington St Ste 820, Chicago, IL 60602-1700 · (312) 332-0921
  • 825 S Waukegan Rd Ste C1, Lake Forest, IL 60045-2665 · (224) 706-6835

About Dr. Petko

Alyssa Michelle Petko, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 111 S Franklin St, Chicago, IL 60606-4628. The NPI number 1336021187 was assigned on July 23, 2025 and the record was last updated on July 23, 2025.

Dr. Petko lists a license in the registry: #046.012008 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alyssa Michelle Petko, O.D.?

The NPI number is 1336021187.

What is the phone number of Dr. Petko?

The phone number listed for the practice location is (312) 265-0444.

Where is Dr. Petko located?

111 S Franklin St, Chicago, IL 60606-4628.

What is the taxonomy code for Dr. Petko?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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