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Organization
PETER S. PETROVAS D.C. L.T.D.
Active
Organization
PETER S. PETROVAS D.C. L.T.D.
Active
Parent organization
PETER S. PETROVAS D.C. L.T.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETER S. PETROVAS D.C. L.T.D.
Authorized official
DR. PETER STEVEN PETROVAS D.C. (OWNER)
17739894305
Entity
Organization
Contact information
Practice address
5962 N LINCOLN AVE, SUITE 12, CHICAGO, IL 60659-3711
(773) 989-4305
(773) 989-7450
Mailing address
5962 N LINCOLN AVE, SUITE 12, CHICAGO, IL 60659-3711
(773) 989-4305
(773) 989-7450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
IL
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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