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NPI Code Detail

MEDICARE: DR. PETER BILL PETRATOS MD

MEDICARE: DR. PETER BILL PETRATOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician036111893IL
22086S0127XTrauma Surgery Physician036111893IL

General Provider Information

NPI Number : 1487612297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER BILL PETRATOS MD
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-733-5315
Provider Business Practice Location Address
First Line : 1948 THREE FARMS AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-1105
Country : US
Telephone Number : 630-355-5633
Fax Number : 630-355-5215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 01/29/2026

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