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

Mrs. Mary Therese Petrella, NDMSRNFNPBC

Individual provider Nurse Practitioner · NPI 1922016849

Mrs. Mary Therese Petrella, NDMSRNFNPBC is a Nurse Practitioner in LA Salle, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

2970 Chartres Hygienic Institute Community Health Clinic
LA Salle, IL 61301
Phone: (815) 223-0196
Fax: (815) 223-0358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (IL)

Record details

NPI number1922016849
Entity typeIndividual (Type 1)
GenderFemale
Credentials NDMSRNFNPBC
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007

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