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Contact Information

ANTOINETTE M PETTITT DDS LTD
457 EAST 87TH STREET
CHICAGO, IL60619
 Phone: 773-994-4433
 Fax: 773-994-9846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ANTOINETTE M PETTITT DDS LTD

NPI Number 1639217961
LBN Legal business name ANTOINETTE M PETTITT DDS LTD
Authorized official ANTOINETTE PETTITT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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