Individual provider · Type 1 NPI

Kalyna Petrusha, PA-C

Physician Assistant · Chicago, IL

NPI number 1275166191 Active

Practice location

3924 W Fullerton Ave
Chicago, IL 60647-2228

Call (773) 276-2229 Map

Mailing address

685 W Wrightwood Ave Apt 2S
Chicago, IL 60614-7969

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.008427 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1275166191

Kalyna Petrusha, PA-C's National Provider Identifier is 1275166191, issued on Feb 19, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 19, 2021.