Individual provider · Type 1 NPI
Petria Laura Idita, PA-C
Physician Assistant · Glenview, IL
Practice location
2300 Chestnut Ave Unit 100
Glenview, IL 60026-1612
Mailing address
441 E Erie St Apt 4404
Chicago, IL 60611-4434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 085009596 (IL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1417650938
Petria Laura Idita, PA-C's National Provider Identifier is 1417650938, issued on Mar 23, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glenview, IL. The record was last updated on Mar 31, 2023.