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1275166191
KALYNA PETRUSHA
CHICAGO, IL
NPI
1275166191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008427)
Enumeration Date
2020-02-19
Last Update Date
2021-10-19
Business Address
KALYNA PETRUSHA PA-C
3924 W FULLERTON AVE
CHICAGO, IL 60647-2228
Phone number: 773-276-2229
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Mailing Address
KALYNA PETRUSHA PA-C
685 W WRIGHTWOOD AVE APT 2S
CHICAGO, IL 60614-7969
Phone number: 248-703-4782
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