Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leah Kristina Petrak, PA-C

Individual provider Physician Assistant · NPI 1043834070

Leah Kristina Petrak, 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

250 E Superior St Fl 15
Chicago, IL 60611-2914
Phone: (312) 472-4225
Fax: (312) 472-4226
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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 085009033 (IL)

Record details

NPI number1043834070
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 5, 2020
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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