Dr Bojan D Petrovic, MD | |
251 E Huron St, Chicago, IL 60611-2908 | |
(312) 926-2000 | |
Not Available |
Full Name | Dr Bojan D Petrovic |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 251 E Huron St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609032549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036117555 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Swedish Covenant Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Dr Bojan D Petrovic, MD 676 N Saint Clair St, Suite 800, Chicago, IL 60611-2927 Ph: (312) 695-5753 | Dr Bojan D Petrovic, MD 251 E Huron St, Chicago, IL 60611-2908 Ph: (312) 926-2000 |
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