DR. JAIME ANN PETTENON (DMD) – Pediatric Dentistry, NPI 1851788913
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JAIME ANN PETTENON (DMD)
45 S PARK BLVD STE 105
GLEN ELLYN, IL 601376299
Phone: (630) 858-8755
Type: Location
12915 W TANGLEWOOD CIR
PALOS PARK, IL 604641615
Phone: (708) 307-5061
Type: Mailing
1740 W Taylor St
Chicago, IL 606127232
Phone: (866) 600-2273
Type: Location
45 S Park Blvd Ste 105
Glen Ellyn, IL 601376299
Phone: (630) 858-8755
Type: Location
39 E COLORADO AVE
FRANKFORT, IL 604231385
Phone: (708) 789-9289
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-10
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60137)
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