SearchIllinois235Z00000X

Grace Petcka

NPI 1578449393 · on the registry since 2025

Practice

Address
3100 S 54th Ave
Cicero, IL 60804
Phone
(708) 652-6085

Additional practice sites

  • 1500 S 50th Ave, Cicero, IL

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-15

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