Rudolph J Petrich (NPI# 1851313019, PAC ID# 5799759213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1851313019 |
| PAC ID by PECOS | 5799759213 |
| Professional Enrollment ID | I20110122000055 |
| Full Name | Rudolph J Petrich |
| Address |
14 S Addison St Bensenville IL 60106-2126 |
| Phone Number | 6307668720 |
| Gender | M |
| Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1979 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140258 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 14 S Addison St, Bensenville, IL 60106-2126 | 6307668720 |
| Street Address |
14 S ADDISON ST |
| City | BENSENVILLE |
| State | IL |
| Zip | 60106-2126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Plachno | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 116 N 3rd St, Oregon, IL 60106 |
| Nitin N Soorya | Internal Medicine | Bonaventure Medical Foundation LLC | 1240 Busse Rd, Bensenville, IL 60106-1034 |
| Thomas C Reese | Internal Medicine | Bonaventure Medical Foundation LLC | 1240 Busse Rd, Bensenville, IL 60106-1034 |
| Tighe Zimmers | Internal Medicine | Bonaventure Medical Foundation LLC | 1240 Busse Rd, Bensenville, IL 60106-1034 |
| Antonio P Carlino | Family Medicine | Bonaventure Medical Foundation LLC | 1240 Busse Rd, Bensenville, IL 60106-1034 |
| Christine Lee | Nurse Practitioner | Bonaventure Medical Foundation LLC | 1240 Busse Rd, Bensenville, IL 60106-1034 |
| Robert L Peiss | Nuclear Medicine | 822 Eagle Dr, Bensenville, IL 60106-1947 | |
| Eugene Pai | Diagnostic Radiology | Alm International Inc | 822 Eagle Dr, Bensenville, IL 60106-1947 |
| James D Velarde | Podiatry | 165 N Church Rd, Bensenville, IL 60106-2009 | |
| Christin Rae Hand | Optometry | Lavender Streiff PC | 117 W Main St, Bensenville, IL 60106-2133 |
| Find all physicians in zip 60106 | |||
| City | BENSENVILLE |
| Zip Code | 60106 |
| Specialty | PODIATRY |
| City + Specialty | BENSENVILLE + PODIATRY |
Please comment or provide details below to improve the information on Rudolph J Petrich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.