Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLETTE ISABELLE PETKOVIC
Active Sole ProprietorNICOLETTE ISABELLE PETKOVIC is a Mental Health Clinic healthcare provider located in FRANKLIN PARK, Illinois. NPI 1467286534 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · FRANKLIN PARK, IL
Registration Details
- NPI Number
- 1467286534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2024 (1.9919554005074 yrs)
- Last Updated
- Aug 29, 2024
- License
-
04089 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10001 GRAND AVEFRANKLIN PARK, IL, 601312563Browse IL providers · Browse ZIP 60131
- Phone
- 8474510330
- Primary Specialty
-
Mental Health Clinic
261QM0801X
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.