Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kalyna Petrusha, PA-C

Individual provider Physician Assistant · NPI 1275166191

Kalyna Petrusha, PA-C is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3924 W Fullerton Ave
Chicago, IL 60647-2228
Phone: (773) 276-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.008427 (IL)

Record details

NPI number1275166191
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 19, 2020
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address685 W Wrightwood Ave Apt 2s, Chicago, IL 60614-7969

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