Individual
VESNA PETRONIC-ROSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 W POLK ST FL 4, CHICAGO, IL 60612-3723
(312) 864-4475
Mailing address
1950 W POLK ST FL 4, CHICAGO, IL 60612-3723
(312) 864-4475
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036108900
IL
207N00000X
Dermatology Physician
MD046013
DC
207ND0900X
Dermatopathology Physician
Primary
036108900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108900
—
IL
Enumeration date
12/14/2006
Last updated
12/28/2021
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