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TAYLOR PETRUSEVSKI MD NPI 1689294654


NPI Information

NPI: 1689294654
Provider Name: TAYLOR PETRUSEVSKI, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
5841 S MARYLAND AVE # 5068
CHICAGO, IL
ZIP 60637
Phone: (773) 702-3820
Get Directions

Taylor Petrusevski, MD is a pediatric emergency medicine pediatrics in Chicago, IL with 4 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Taylor Petrusevski, MD NPI is 1689294654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

5841 S MARYLAND AVE # 5068
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-3820

The NPI 1689294654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2020 and was last updated on 4/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine125.075550ILLINOISNo
22080P0204XPediatricsPediatric Emergency Medicine036164615ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.