Individual
ANNA M PETROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016004935
IL
213ES0131X
Foot Surgery Podiatrist
Primary
016004935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004935
—
IL
01
—
1626058
BC/BS
—
Enumeration date
11/10/2005
Last updated
05/13/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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