Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Matthew Pettey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700638954

Brian Matthew Pettey is a Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 318-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125084522 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700638954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address1675 Dempster St, Park Ridge, IL 60068-1110

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