MARKIA LENISE PETTWAY

CHICAGO, IL
NPI1154124287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125086793)
Enumeration Date2025-04-01
Last Update Date2025-07-30
Business Address
MARKIA LENISE PETTWAY DO
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3016
Mailing Address
MARKIA LENISE PETTWAY DO
857 CAMMACK RD
BIRMINGHAM, AL 35211-5961
Phone number: 205-410-2540