DoctorLicensePro

Dr. Lon J Petchenik, M.D.

Otolaryngology

NPI: 1285630780 Illinois
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 198 days ago

License Status

IllinoisActive
License #

036081936

Issued

Dec 14, 1990

Expires

Jul 31, 2029

Practice Information

Address
5999 NEW WILKE RD BLDG 1
ROLLING MEADOWS, IL 60008
Phone
(847) 259-2530
In Practice Since
June 21, 2005
Data Last Updated
December 15, 2025

NPI Details

NPI Number
1285630780
Status
Active
Taxonomy Code
207Y00000X
Data sourced from CMS NPPES public database. Last verified: December 15, 2025. Report an error