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Kalyna Petrusha, PA-C
NPI 1275166191 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3924 W Fullerton Ave
Chicago, IL 60647 - Phone
- (773) 276-2229
- Organisation at this address
- Quest Diagnostics Llc
Primecare Community Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-19
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