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Search › Illinois › 261QM0801X

Nicolette Petkovic

NPI 1467286534 · on the registry since 2024 · sole proprietor

Practice

Address
10001 Grand Ave
Franklin Park, IL 60131
Phone
(847) 451-0330
Organisation at this address
Patricia Keating
Leyden Family Service
Leyden Family Service & Mental Health Center
Leyden Family Service And Mental Health Center
Leyden Family Services And Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
94

Registry record

Primary taxonomy
261QM0801X
261QM0801X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-29

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