Marcelo Petti Valid NPI

Individual provider · Family Medicine Physician · Des Plaines, IL

NPI

1104387893

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036-160995 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2019-03-26

Last updated

2022-10-28