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MARKIA LENISE PETTWAY DO
NPI 1154124287
Family Medicine in Chicago, IL

Active since April 01, 2025
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3016 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Markia Lenise Pettway Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARKIA LENISE PETTWAY DO (NPI 1154124287) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125086793) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1154124287
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARKIA LENISE PETTWAYCredential: DO
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address857 Cammack RdBirmingham, AL 35211-5961 · (205) 410-2540
Phone(872) 588-3016
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1154124287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125086793
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3860 W OGDEN AVE, Chicago, IL 60623
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOONGYU DANIEL SONG MD
Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
ANNA TORNQUIST
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. ALISHA RONETTE TILLMAN DO
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
DR. THOMAS W BOCKLE M.D.
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
EDWIN W MANGRAM II D.D.S.
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LINDSAY J MCCRACKEN P.A.-C
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
LISA ANNE WERNER PA
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000
MRS. HEIDI MILLER NP
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623
Cook County (872) 588-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Markia Pettway's NPI number?

The NPI number for Markia Pettway is 1154124287. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Markia Pettway located?

Markia Pettway practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3016.

What is Markia Pettway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Markia Pettway was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.