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

Individual provider Licensed Practical Nurse · NPI 1780998674

Wanda Pettye is a Licensed Practical Nurse in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
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Practice location Address checks out

3618 Western Ave
Park Forest, IL 60466-2126
Phone: (708) 228-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043071327 (IL)

Record details

NPI number1780998674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2010
Last updated in NPPESAugust 3, 2010

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