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DR. EGOR PETROCHENKOV MD
NPI 1376239483
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 12, 2023PECOS Enrolled
837 S LAFLIN ST APT 3, CHICAGO, IL 60607(224) 349-7598 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Egor Petrochenkov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EGOR PETROCHENKOV MD (NPI 1376239483) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376239483
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EGOR PETROCHENKOVCredential: MD
Location Address837 S LAFLIN ST APT 3Chicago, IL 60607-3875
Mailing Address837 S Laflin St Apt 3Chicago, IL 60607-3875 · (224) 349-7598
Phone(224) 349-7598
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1376239483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
837 S LAFLIN ST APT 3, Chicago, IL 60607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Egor Petrochenkov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Egor Petrochenkov's NPI number?

The NPI number for Egor Petrochenkov is 1376239483. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Egor Petrochenkov located?

Egor Petrochenkov practices at 837 S Laflin St Apt 3, Chicago, IL 60607. The listed phone number is (224) 349-7598.

What is Egor Petrochenkov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Egor Petrochenkov enrolled in Medicare?

Yes. Egor Petrochenkov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Egor Petrochenkov was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.