Search › Illinois › 207V00000X
Shannon Pettit, MD
NPI 1134758881 · on the registry since 2020
Practice
- Address
- 133 E Brush Hill Rd Ste 308
Elmhurst, IL 60126 - Phone
- (331) 221-9006
- Fax
- (331) 221-2734
- Organisation at this address
- Retina Associates Ltd
Dupage Medical Group Ltd
Caleel Medical Group, Llc
Dialysis Centers Of America - Illinois, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 111
Additional practice sites
- 1740 W Taylor St, Chicago, IL
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois