Petra Andrea Illig, M.D.

Primary specialty

Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X

License

4193 Issued in AK

Practice address

5011 Spenard Rd Ste 102
Anchorage, AK 99517-3320

Phone

(907) 245-4359

Fax

(907) 245-2212

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1255410213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 SPENARD RD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173320",
            "telephone_number": "907-245-4359",
            "fax_number": "907-245-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 SPENARD RD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173320",
            "telephone_number": "907-245-4359",
            "fax_number": "907-245-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLIG",
        "first_name": "PETRA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AK",
            "license": "4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Ihedioha
• Talita S. Ikahihifo, MD
• Iyabo Ikpefuran, RN, MSN, MPH, CMSRN
• Therese D Ilalio, LPTA
• Stephanie L. Illanes, MD
• Nita Iloilo
• Iluaqsii
• Iluminada'S Assisted Living Home
• Iluminada'S Assisted Living Home II
• Imaging Associates, LLC

• Legal Medicine (M.D./D.O.) Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Legal Medicine (M.D./D.O.) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.