Search › Illinois › 207R00000X
Kevin Petermann, M.D
NPI 1588744650 · on the registry since 2006
Practice
- Address
- 4700 W 95th St Ste 303
Oak Lawn, IL 60453 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- Organisation at this address
- Zorub Clinic Ltd
Joi A Butler Md Pc
Advocate Healthcare
Roman Orest Kozyckyj
Chicago Podiatry PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Additional practice sites
- 1460 N Halsted St Ste 503, Chicago, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 202K00000X
207R00000X
207R00000X - Licence states on file
- IL, NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-15
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