Search › Illinois › 2080P0204X
Taylor Petrusevski, MD
NPI 1689294654 · on the registry since 2020
Practice
- Address
- 5841 S Maryland Ave # 5068
Chicago, IL 60637 - Phone
- (773) 702-3820
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 2080P0204X
2080P0204X
- Also registered as
- 207P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois