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

Individual provider Pediatrics Physician · NPI 1952370538

Channing Petrak, MD is a Pediatrics Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Dept Of Pediatrics 320 E Armstrong
Peoria, IL 61603
Phone: (309) 624-9587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036108511 (IL)

Record details

NPI number1952370538
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESJuly 22, 2013
Mailing address1 Illini Dr, Peoria, IL 61605-2576

Other providers in Peoria