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Search › Illinois › 225100000X

Wayne Petereit, LPT

NPI 1376753335 · on the registry since 2007

Practice

Address
1201 S Main St
Jacksonville, IL 62650
Phone
(217) 479-2300
Organisation at this address
Gillespie 694140
Department Of Human Services
Bushnell Dix Hill Jones 694110
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois