Anna Petrov Dpm Sc in Chicago - Podiatrist
Anna Petrov Dpm Sc - NPI 1386667269
Anna Petrov Dpm Sc is a Podiatrist in Chicago, Illinois. Anna Petrov Dpm Sc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Anna Petrov Dpm Sc is 1386667269. The last update date is 2013-05-13.
Anna Petrov Dpm Sc's current location address is 4108 N Sheridan Rd, Chicago, Illinois. You can contact this provider via phone number 7732446517 and fax number 7732446531. The mailing address for Anna Petrov Dpm Sc is 4108 N Sheridan Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anna Petrov Dpm Sc |
|---|---|
| Address | 4108 N Sheridan Rd, Chicago, Illinois |
| Phone Number | 7732446517 |
| Fax Number | 7732446531 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Petrov Anna |
| Credentials | DPM |
| Telephone Number | 7732446517 |
NPI Number Detail
| NPI Number | 1386667269 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2013-05-13 |
Provider Mailing Address Detail
| Address | 4108 N Sheridan Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606132007 |
| Phone Number | 7732446517 |
| Fax Number | 7732446531 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1626058 | IL | BCBS |
Post Comment/ Review Below
What is the Anna Petrov Dpm Sc's 1386667269?
The Anna Petrov Dpm Sc's NPI (National Provider Identifier) Number is 1386667269. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anna Petrov Dpm Sc is physically located?
The Anna Petrov Dpm Sc is physically situated at the following address: 4108 N Sheridan Rd, Chicago, IL, 606132007.
What is the Anna Petrov Dpm Sc's specialty and taxonomy code?
The Anna Petrov Dpm Sc's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date was the 1386667269 assigned to Anna Petrov Dpm Sc?
The Anna Petrov Dpm Sc was issued its 1386667269 on 2006-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Anna Petrov Dpm Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anna Petrov Dpm Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-13.
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