Search › Illinois › 207L00000X
Robert Petty, M.D
NPI 1841259744 · on the registry since 2006
Practice
- Address
- 904 W Temple Ave
Effingham, IL 62401 - Phone
- (217) 342-1234
- Fax
- (816) 461-6586
- Organisation at this address
- Robert H And Teresita S Petty
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-05
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