Jocelyn Alexandra Leon Peters
Obstetrician & Gynecologist
1700 Henry Luckow Ln
Belvidere
, Illinois 61008-1702
Jocelyn Alexandra Leon Peters
Obstetrician & Gynecologist
1700 Henry Luckow Ln
Belvidere
, Illinois 61008-1702
(779) 696-7150
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Jocelyn Alexandra Leon Peters
- Po Box 78866
- Milwaukee, WI
- Zip : 53278-8866
- Phone : (779) 696-7150
Second Address
- Jocelyn Alexandra Leon Peters
- 1700 Henry Luckow Ln
- Belvidere, IL
- Zip : 61008-1702
- Phone : (779) 696-8650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 036.145489 | IL |
| N | 207V00000X | Obstetrician & Gynecologist | 4301101614 | MI |
National Provider Identifier
| NPI | 1013262666 |
|---|---|
| Provider Name | Jocelyn Alexandra Leon Peters |
| First Address | Milwaukee, WI 53278-8866 |
| Second Address | Belvidere, IL 61008-1702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2012 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036145489 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.