Petrusevski, Taylor
Petrusevski, Taylor is an individual health care provider with primary practice located at 5841 S Maryland Ave # 5068 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Petrusevski, Taylor can be contacted via phone (773) 702-3820.Contact Information
Primary practice address
5841 S Maryland Ave # 5068
Chicago IL 60637-1443
Phone: (773) 702-3820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 125.075550 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 036164615 | Illinois |
Profile Details
| NPI number | 1689294654 |
|---|---|
| LBN Legal business name | Petrusevski, Taylor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2020 |
| Last updated | Apr 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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