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1013253384
ELENA PETRUSEVSKA
CHICAGO, IL
NPI
1013253384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085-004506)
Enumeration Date
2012-12-14
Last Update Date
2015-09-17
Business Address
-- ELENA PETRUSEVSKA PA-C
840 W IRVING PARK RD STE 301
CHICAGO, IL 60613-3011
Phone number: 773-975-3269
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Mailing Address
-- ELENA PETRUSEVSKA PA-C
PO BOX 3276
EVANSVILLE, IN 47731-3276
Phone number: 812-473-0181
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