| Taylor Petrusevski, MD | |
|
5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | |
| (773) 702-3820 | |
| Not Available |
| Full Name | Taylor Petrusevski |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 5841 S Maryland Ave # 5068, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689294654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.075550 (Illinois) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 036164615 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Oak Park Hospital | Oak park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush Oak Park Er Physicians Group | 8820190606 | 31 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Entity Name | Rush Oak Park Er Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Petrusevski, MD 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: (773) 702-1000 | Taylor Petrusevski, MD 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 Ph: (773) 702-3820 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 | |
Amy Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |