MARK ROBERT PETROELJE MA NPI 1184995250

NPI Information

NPI: 1184995250
Provider Name: MARK ROBERT PETROELJE, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1000 W DIVERSEY PKWY
SUITE 275
CHICAGO, IL
ZIP 60614
Phone: (312) 502-9014
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Mark Robert Petroelje, MA is a professional counselor in Chicago, IL. Mark Robert Petroelje, MA NPI is 1184995250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 W DIVERSEY PKWY
SUITE 275
CHICAGO, IL
ZIP 60614-879
Phone: (312) 502-9014

The enumeration date for this NPI number is 1/22/2012 and was last updated on 5/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180008805	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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