SearchIllinoisPediatrics Physician

Channing Petrak, MD

NPI 1952370538 · on the registry since 2006

Practice

Address
Dept Of Pediatrics
320 E Armstrong
Peoria, IL 61603
Phone
(309) 624-9587

Registry record

Primary taxonomy
Pediatrics Physician
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-22

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