PETRA JOSEPH MD NPI 1679685234

NPI Information

NPI: 1679685234
Provider Name: PETRA JOSEPH, MD
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
1030 N CLARK ST
CHICAGO, IL
ZIP 60610
Phone: (312) 238-7800
Get Directions

Petra Joseph, MD is a pain medicine physical medicine rehabilitation in Chicago, IL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Petra Joseph, MD NPI is 1679685234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1030 N CLARK ST
CHICAGO, IL
ZIP 60610-467
Phone: (312) 238-7800

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/26/2008.

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	207L00000X	Anesthesiology		036-061158	ILLINOIS	No
2	208100000X	Physical Medicine & Rehabilitation		036-061158	ILLINOIS	No
3	208VP0000X	Pain Medicine	Pain Medicine	036-061158	ILLINOIS	No
4	208VP0014X	Pain Medicine	Interventional Pain Medicine	036-061158	ILLINOIS	No
5	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	036-061158	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	C44941	MEDICARE UPIN
2	L77482	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	DUPAGE COUNTY PIN NUMBER
3	L77481	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	COOK COUNTY PIN NUMBER
4	250011936	OTHER	ILLINOIS	RAILROAD MEDICARE
5	L58955	MEDICARE PIN	ILLINOIS
6	036061158	MEDICAID	ILLINOIS
7	250011935	OTHER	ILLINOIS	RAILROAD MEDICARE

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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