Individual provider · Type 1 NPI

Justin Petit, CRNA

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1831096841 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

1448 W Hood Ave
Chicago, IL 60660-1806

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831096841

Justin Petit, CRNA's National Provider Identifier is 1831096841, issued on Oct 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Oct 22, 2026.