Individual provider · Type 1 NPI

Elena Petrusevska, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1013253384 Active

Practice location

840 W Irving Park Rd, Ste 301
Chicago, IL 60613-3011

Call (773) 975-3269 Map

Fax (773) 975-3270

Mailing address

PO Box 3276
Evansville, IN 47731-3276

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-004506 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1013253384

Elena Petrusevska, PA-C's National Provider Identifier is 1013253384, issued on Dec 14, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 17, 2015.