WILLIAM PETRANDO MD NPI 1629046453

NPI Information

NPI: 1629046453
Provider Name: WILLIAM PETRANDO, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
454 PENNSYLVANIA AVE
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 469-9200
Get Directions

William Petrando, MD is a gynecology obstetrics gynecology in Glen Ellyn, IL. William Petrando, MD NPI is 1629046453. 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:

454 PENNSYLVANIA AVE
GLEN ELLYN, IL
ZIP 60137-418
Phone: (630) 469-9200

The enumeration date for this NPI number is 3/9/2006 and was last updated on 7/8/2007.

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	207VG0400X	Obstetrics & Gynecology	Gynecology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C39516	MEDICARE UPIN	ILLINOIS
2	L64863	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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