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

DR. WAYMOND JAY PETTIT, M.D.

Active Sole Proprietor

DR. WAYMOND JAY PETTIT, M.D. is a Otolaryngology healthcare provider located in DECATUR, Illinois. NPI 1679720726 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · DECATUR, IL

Registration Details

NPI Number
1679720726
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2008 (18.018218803081 yrs)
Last Updated
Aug 20, 2008
License
036051290 (IL)
Sole Proprietor
Yes

Practice Information

Address
3620 S TAYLOR RD
DECATUR, IL, 625219015
Browse IL providers · Browse ZIP 62521
Phone
2174540022
Primary Specialty
Otolaryngology
207Y00000X

Other Otolaryngology Providers in DECATUR, IL

Name Credential NPI
FRANCIS HOBSON M.D. 1679538193
DR. STEPHEN J CHADWICK M.D. 1104883735
DR. TERENCE R WOODS M.D. 1528026580
DR. JEFFREY MICHAEL ULIS MD 1568646842
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.