NPI 1386667269 · live from the CMS NPI Registry
Anna Petrov Dpm Sc
Podiatrist in Chicago, IL. National Provider Identifier 1386667269, active.
NPI record
| NPI | 1386667269 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 4108 N Sheridan Rd, Chicago, IL 60613 |
| Practice phone | 773-244-6517 |
| Enumerated | July 25, 2006 |
| Last updated | May 13, 2013 |
| Authorized official | Anna Petrov, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.