John Peterson
Internist Emergency Physician Internist - Addiction Medicine
2917 Crossing Ct Suite B1
Champaign
, Illinois 61822-6184
John Peterson
Internist Emergency Physician Internist - Addiction Medicine
2917 Crossing Ct Suite B1
Champaign
, Illinois 61822-6184
(217) 344-2819
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About
Features
Specialties
- Emergency Physician
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- John Peterson
- 2917 Crossing Ct Suite B1
- Champaign, IL
- Zip : 61822-6184
- Fax : (217) 344-2819
- Phone : (217) 344-2740
Second Address
- John Peterson
- 2917 Crossing Ct Suite B1
- Champaign, IL
- Zip : 61822-6184
- Fax : (217) 344-2819
- Phone : (217) 344-2740
Reviews
FAQs
Where did John Peterson attend graduate school?
Where did John Peterson do his residency?
Where did John Peterson do his fellowship?
Is John Peterson board certified?
What type of doctor is John Peterson
In what state does John Peterson practice in?
Where is John Peterson ’s practice located?
What is John Peterson ’s gender?
Is John Peterson a sole practitioner?
Is John Peterson accepting new patients?
What languages does John Peterson speak?
Does John Peterson accept insurance?
Does John Peterson offers telemedicine?
What is John Peterson ’s professional license number?
What is John Peterson ’s NPI number?
Does John Peterson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 036083081 | IL |
| Y | 207R00000X | Internist | 036083081 | IL |
| Y | 111NI0900X | Internist | 036083081 | IL |
| N | 207RA0401X | Internist - Addiction Medicine | 036083081 | IL |
National Provider Identifier
| NPI | 1003833625 |
|---|---|
| Provider Name | John Peterson |
| First Address | Champaign, IL 61822-6184 |
| Second Address | Champaign, IL 61822-6184 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 16/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036083081 | (05) | IL |
| F09374 | (02) |
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.