Kelly A Peterson
Nurse Practitioner - Neonatal (Critical Care)
225 E Chicago Ave
Chicago
, Illinois 60611-2991
Kelly A Peterson
Nurse Practitioner - Neonatal (Critical Care)
225 E Chicago Ave
Chicago
, Illinois 60611-2991
(708) 768-1694
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Kelly A Peterson
- 12516 S 71st Ct
- Palos Heights, IL
- Zip : 60463-1550
- Phone : (708) 768-1694
Second Address
- Kelly A Peterson
- 225 E Chicago Ave
- Chicago, IL
- Zip : 60611-2991
- Phone : (312) 227-4000
Reviews
FAQs
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What type of doctor is Kelly A Peterson
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 209.020968 | IL |
National Provider Identifier
| NPI | 1255965208 |
|---|---|
| Provider Name | Kelly A Peterson |
| First Address | Palos Heights, IL 60463-1550 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2020 |
| Last Update Date | 28/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| EAD821145963 | HEALTH INSURANCE (01) | 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.