Petkana Staleva

NPI 1386493187 · on the registry since 2024

Practice

Address: 3241 S Michigan Ave Ste 1
Chicago, IL 60616
Phone: (312) 225-6200
Fax: (312) 949-7616
Organisation at this address: Ramp Rx Inc
Illinois College Of Optometry
Illinois College Of Optometry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 174

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 390200000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-29

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