Anna Petrov Dpm Sc | |
4108 N Sheridan Rd, Chicago, IL 60613-2007 | |
(773) 244-6517 | |
(773) 244-6531 |
Full Name | Anna Petrov Dpm Sc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 4108 N Sheridan Rd, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386667269 | NPI | - | NPPES |
1626058 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Anna M Petrov |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407837040 PECOS PAC ID: 6709884463 Enrollment ID: I20061205000141 |
Mailing Address | Practice Location Address |
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Anna Petrov Dpm Sc 4108 N Sheridan Rd, Chicago, IL 60613-2007 Ph: (773) 244-6517 | Anna Petrov Dpm Sc 4108 N Sheridan Rd, Chicago, IL 60613-2007 Ph: (773) 244-6517 |
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