Individual
KATARINA GEORGIA PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, LOYOLA OUTPATIENT CENTER, 4300, MAYWOOD, IL 60153-3328
(708) 216-6006
(708) 216-2683
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.064549
IL
Other
Enumeration date
04/01/2014
Last updated
08/14/2014
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