CHANNING PETRAK, MD

Pediatrics

Active Individual
NPI: 1952370538

Practice Address

DEPT OF PEDIATRICS
320 E ARMSTRONG
Peoria, IL 61603

Phone: (309) 624-9587

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 036108511 (IL)

Frequently Asked Questions

NPI 1952370538 is the National Provider Identifier for CHANNING PETRAK, MD, a Pediatrics provider located in Peoria, IL. This NPI was enumerated on March 16, 2006.
CHANNING PETRAK, MD practices at DEPT OF PEDIATRICS, 320 E ARMSTRONG, Peoria, IL 61603.

Quick Facts

NPI
1952370538
Type
Individual
Enumerated
Mar 16, 2006
Last Updated
Jul 22, 2013

Nearby Providers