Peta Minerof is a Northbrook, Illinois based female podiatrist who is specialized in Podiatry. Active license number of Peta Minerof is 178.0017123 in Illinois. Peta Minerof is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Peta Minerof speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
LPC
Gender:
Female
Practice Address:
4201 Lake Cook Rd Ste 300, Northbrook, Illinois, 60062-1060
Phone:
847-871-9900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558421438
NPI Enumeration Date:
11 Dec, 2006
NPI Last Update On:
16 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peta Minerof are as mentioned below.
License Number
Specialization
State
Status
178.0017123
Illinois
Primary
016004669
Podiatry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Peta Minerof such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016004669
Other
Illinois
DPM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4201 Lake Cook Rd Ste 300, Northbrook, Illinois
Zip:
60062-1060
Phone Number:
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Fax Number:
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Patients can reach Peta Minerof at 4201 Lake Cook Rd Ste 300, Northbrook, Illinois or can call to book an appointment on 847-871-9900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
Comments/ Reviews:
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