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Elena Petrusevska, PA-C
Medical Physician Assistant in Chicago, Illinois
NPI 1013253384

Elena Petrusevska is a Medical Physician Assistant based in Evansville, IL and is specialized in Medical. Elena Petrusevska practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Elena Petrusevska is 1013253384 and holds a License No. 085-004506 (Illinois).

The current practice location address for Elena Petrusevska is 840 W Irving Park Rd, Chicago, IL and can be reached out via phone at 773-975-3269 and via fax at 773-975-3270.

Location: 840 W Irving Park Rd, Chicago, IL, 47731-3276
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Provider Profile Details
NPI Number
1013253384
Provider Name
Elena Petrusevska
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
840 W Irving Park Rd, Chicago, IL, 47731-3276
Phone Number
773-975-3269
Fax Number
773-975-3270
Provider Enumeration Date
12/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085-004506 01 IL STATE OF IL LICENSE
institution
Provider Business Practice Location Address Details
Address
840 W Irving Park Rd
City
State
Zip
60613-3011
Phone Number
773-975-3269
Fax Number
773-975-3270
person
Provider Business Mailing Address Details
Address
840 W Irving Park Rd
City
State
Zip
60613-3011
Phone Number
773-975-3269
Fax Number
773-975-3270
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085-004506 (Illinois)
Definition
Definition to come...
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