Individual provider · Type 1 NPI

Petra Ketterl, MD

Specialist · Chicago, IL

NPI number 1902867534 Active

Practice location

2330 Paysphere Cir
Chicago, IL 60674-0023

Call (847) 746-4358 Map

Mailing address

10109 E 79th St
Tulsa, OK 74133-4564

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1902867534

Petra Ketterl, MD's National Provider Identifier is 1902867534, issued on Mar 31, 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.