Vera Petras, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036053513 Issued in IL

Practice address

1541 Riverboat Center Dr
Joliet, IL 60431-9341

Phone

(815) 942-2932

Fax

(815) 942-3154

NPI assigned

Sep 14, 2006

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1588760144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-942-2932",
            "fax_number": "815-942-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-942-2932",
            "fax_number": "815-942-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAS",
        "first_name": "VERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036053513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053513-003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Peters, MA CCC-SLP
• Mackenzie Petersen, DPT
• Patricia Ann Petersen, FNP
• Lynette Peterson, COTA
• Jennifer Mary Petraitis, CRNA
• Nicholas Petrus
• Kelly Petty
• Michelle Philip
• Alyssa Phillips
• Elizabeth Marie Phillips, MS, CCC-SLP/L

• Radiation Oncology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.