DR. POLINA V PETROVIC (NPI# 1790941649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790941649 |
| Entity Type | Individual |
| Full Name | DR. POLINA V PETROVIC |
| Credential | MD |
| Practice Address |
2320 E 93rd St Chicago IL 60617-3983 |
| Mailing Address |
2320 East 93rd St Advocate Trinity Hospital Chicago IL 60617 |
| Practice Telephone | 7739673998 |
| Mailing Telephone | 7739673998 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2012-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-120714 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2320 E 93RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545937 | Ken R Richards | Specialist | 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 | 2005-08-19 |
| 1972151512 | Lauren Jennifer Wishne | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-27 |
| 1932755105 | Erin Hill | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-08-14 |
| 1154980001 | Nathan Duane Warner | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-06-12 |
| 1740749779 | Alec Saadi Colson | Physician Assistant | 2320 E 93rd St, Chicago, IL 60617-3909 | 2019-03-19 |
| 1710452065 | Sherryl Felice Smith-colbert | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1497220743 | Kenisha Daniels | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-10-12 |
| 1396229019 | Amy Elizabeth Spreitzer | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-09-18 |
| 1770072340 | Shawndra L Ferrell | Nurse Practitioner | 2320 E 93rd St, Chicago, IL 60617-3909 | 2018-05-08 |
| 1396258513 | Rosie L. Bernard | Registered Nurse | 2320 E 93rd St, Chicago, IL 60617-3909 | 2017-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.