Individual
DR. PETRO SHAFRANYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
(815) 748-5789
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
(815) 748-5789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01096528A
IN
207R00000X
Internal Medicine Physician
036174915
IL
208M00000X
Hospitalist Physician
01096528A
IN
208M00000X
Hospitalist Physician
Primary
036174915
IL
Other
Enumeration date
04/09/2022
Last updated
09/23/2025
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