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Colton Pettyjohn
NPI 1295533388 · on the registry since 2025
Practice
- Address
- 4205 Beach St Apt 106
Rockford, IL 61108 - Phone
- (217) 271-7211
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-04
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