Search › Illinois › 363A00000X
Petria Idita, PA-C
NPI 1417650938 · on the registry since 2023
Practice
- Address
- 2300 Chestnut Ave Unit 100
Glenview, IL 60026 - Phone
- (847) 786-5200
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-31
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