Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036.125565 | IL |
N | 111NI0900X | Internist | 036.125565 | IL |
Y | 207RA0201X | Internist - Allergy & Immunology | 036125565 | IL |
NPI | 1114174828 |
---|---|
Provider Name | Dr. Sarah Cathleen Peterson |
First Address | Buffalo Grove, IL 60089-6705 |
Second Address | Buffalo Grove, IL 60089-6705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2008 |
Last Update Date | 05/10/2021 |