Individual ProviderPetra LovrecRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(708) 327-3436(708) 216-1084PECOS EnrollmentBased on the most recent information from CMS, provider Petra Lovrec is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1508426602Provider TypeIndividualFull NameLovrec, PetraGenderFemaleSole ProprietorNoEnumeration Date6/19/2019Last Updated8/12/2021Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 327-3436FaxUnlisted FaxMailing LocationMailing Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-1084FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense125074165Illinois