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WANDA PETTYE
NPI 1780998674
Licensed Practical Nurse in Park Forest, IL

Active since August 03, 2010
3618 WESTERN AVE, PARK FOREST, IL 60466(708) 228-0999 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wanda Pettye NPPES

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

WANDA PETTYE (NPI 1780998674) is an individual licensed practical nurse in Park Forest, Illinois, licensed in Illinois (043071327) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1780998674
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWANDA PETTYE
Location Address3618 WESTERN AVEPark Forest, IL 60466-2126
Mailing Address3618 Western AvePark Forest, IL 60466-2126 · (708) 228-0999
Phone(708) 228-0999
Sole ProprietorYes
Enumeration DateAugust 3, 2010
✔ NPI 1780998674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043071327
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3618 WESTERN AVE, Park Forest, IL 60466
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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 Wanda Pettye's NPI number?

The NPI number for Wanda Pettye is 1780998674. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Wanda Pettye located?

Wanda Pettye practices at 3618 Western Ave, Park Forest, IL 60466. The listed phone number is (708) 228-0999.

What is Wanda Pettye's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Wanda Pettye was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.