Anthony Peterson MD

NPI 1144424649 - Internal Medicine - 207R00000X

NPI Details
NPI 1144424649
Gender Male
Enumeration Date 06/11/2007
Last Updated 09/06/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2160 S 1ST AVE
BUILDING 54, ROOM 101
MAYWOOD IL, 60153-3328, US
Phone (708) 485-1271
Fax (708) 216-2444
Business Location
2160 S 1ST AVE
BUILDING 54, ROOM 101
MAYWOOD IL, 60153-3328, US
Phone (708) 216-4962
Fax (708) 216-2444
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036113202
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According to our database, Anthony Peterson MD NPI is 1144424649, taxonomy code is 207R00000X and license number is 036113202, license state is located at Illinois. Anthony Peterson MD physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Anthony Peterson MD has the Individual type.

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1144424649 NPI number is provided on an as is basis without warranty of any kind. 1144424649 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Peterson MD are for informational purposes only.