Provider Demographics
NPI:1053988451
Name:PETRUSEVSKI, BRITTNEY ANN (DPT)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANN
Last Name:PETRUSEVSKI
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:ANN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:630-928-5080
Practice Address - Street 1:14700 S LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3248
Practice Address - Country:US
Practice Address - Phone:708-873-8822
Practice Address - Fax:708-873-8823
Is Sole Proprietor?:No
Enumeration Date:2021-06-05
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070025920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist