Individual provider · Type 1 NPI

Jerry P. Petasnick, MD

Specialist · Chicago, IL

NPI number 1316905201 Active

Practice location

1725 W Harrison St, Suite 456
Chicago, IL 60612-3841

Call (312) 563-4270 Map

Fax (312) 563-4280

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36038834 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316905201

Jerry P. Petasnick, MD's National Provider Identifier is 1316905201, issued on May 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2026.