Brian Matthew Pettey

Pediatrics Physician · Park Ridge, IL

Individual Active NPI

NPI number 1700638954

Practice location

1675 Dempster St
Park Ridge, IL 60068-1110
Phone
(847) 318-9300

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NPI record

NPI
1700638954
Entity type
Individual (Type 1)
Enumeration date
April 2, 2024
Last updated
June 14, 2024
Certified
June 14, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 125084522 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

About Brian Pettey

Brian Matthew Pettey is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1675 Dempster St, Park Ridge, IL 60068-1110. The NPI number 1700638954 was assigned on April 2, 2024 and the record was last updated on June 14, 2024.

Brian Pettey lists a license in the registry: #125084522 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Matthew Pettey?

The NPI number is 1700638954.

What is the phone number of Brian Pettey?

The phone number listed for the practice location is (847) 318-9300.

Where is Brian Pettey located?

1675 Dempster St, Park Ridge, IL 60068-1110.

What is the taxonomy code for Brian Pettey?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

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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