NPI 1134758881

Shannon C. Pettit, MD

Practitioner Obstetrics & Gynecology Physician Elmhurst, IL

Practice location

Address: 133 E Brush Hill Rd STE 308, Elmhurst, IL 60126-5662
Phone: (331) 221-9006
Fax: (331) 221-2734

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 036165765 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1134758881
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2020
Record last updated: 22 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.