Petronic-Rosic, Vesna

Petronic-Rosic, Vesna is an individual health care provider with primary practice located at 1950 W Polk St Fl 4 , Chicago IL 60612-3723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Petronic-Rosic, Vesna can be contacted via phone (312) 864-4475.

Contact Information

Primary practice address
1950 W Polk St Fl 4 Chicago IL 60612-3723
Phone: (312) 864-4475
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036108900 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD046013 District of Columbia
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036108900 Illinois

Profile Details

NPI number 1285796730
LBN Legal business name Petronic-Rosic, Vesna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285796730 NPPES
Illinois MEDICAID 036108900

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