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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MINDY SUE PETTENGER

Active

MINDY SUE PETTENGER is a Peer Specialist healthcare provider located in FREEPORT, Illinois. NPI 1386214559 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · FREEPORT, IL

Registration Details

NPI Number
1386214559
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2021 (5.1479454883013 yrs)
Last Updated
Jun 29, 2021

Practice Information

Address
421 W EXCHANGE ST
FREEPORT, IL, 610324008
Browse IL providers · Browse ZIP 61032
Phone
8155997300
Primary Specialty
Peer Specialist
175T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.