Anna Petrov DPM SC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ANNA PETROV DPM SC

Practice address

4108 N Sheridan Rd
Chicago, IL 60613-2007

Phone

(773) 244-6517

Fax

(773) 244-6531

NPI assigned

Jul 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anna Petrov, DPMNPI 1407837040

Title

President

Phone

(773) 244-6517

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna M Petrov, DPM

  • Foot Surgery Podiatrist
  • Wheeling, IL
  • NPI 1407837040
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1386667269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132007",
            "telephone_number": "773-244-6517",
            "fax_number": "773-244-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132007",
            "telephone_number": "773-244-6517",
            "fax_number": "773-244-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA PETROV DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-244-6517",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1626058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann and Robert H Lurie Childrens Hospital of Chicago
• Ann and Robert H. Lurie Children's Hospital
• Ann Foster LTD (Millennium Counseling Center)
• Ann Foster LTD, Dba Millennium Counseling Center
• Anna Kultys, LCPC, PLLC
• Anna's Pediatric Physical Therapy LLC
• Zinat Annaev, MD
• Muthiah Ramu Annamalai, DO
• Emmanuel Annang, APRN
• Jan Patrick Annarella, M ED

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.