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DR. MICHAEL EDWARD PETRAVICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 W HARRISON ST STE 466, CHICAGO, IL 60612-3800
(309) 868-4988
Mailing address
531 W DEMING PL APT 516, CHICAGO, IL 60614-6412
(309) 868-4988

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.072611
IL

Other

Enumeration date
06/26/2018
Last updated
06/26/2018
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