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Kelly A Peterson

Nurse Practitioner - Neonatal (Critical Care)

225 E Chicago Ave
Chicago , Illinois 60611-2991

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Kelly A Peterson

Nurse Practitioner - Neonatal (Critical Care)

225 E Chicago Ave
Chicago , Illinois 60611-2991

(708) 768-1694

Write a Review Save Call

Kelly A Peterson

Nurse Practitioner - Neonatal (Critical Care)

225 E Chicago Ave
Chicago , Illinois 60611-2991

(708) 768-1694 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Neonatal (Critical Care)

Languages spoken

  • English

Location

225 E Chicago Ave Chicago , Illinois 60611-2991

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

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FAQs


Where did Kelly A Peterson attend graduate school?

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Where did Kelly A Peterson do her residency?

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Where did Kelly A Peterson do her fellowship?

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Is Kelly A Peterson board certified?

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What type of doctor is Kelly A Peterson

Nurse Practitioner - Neonatal (Critical Care)

In what state does Kelly A Peterson practice in?

Illinois

Where is Kelly A Peterson ’s practice located?

225 E Chicago Ave , Chicago, Illinois, 60611-2991

What is Kelly A Peterson ’s gender?

Female

Is Kelly A Peterson a sole practitioner?

No

Is Kelly A Peterson accepting new patients?

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What languages does Kelly A Peterson speak?

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Does Kelly A Peterson accept insurance?

Yes, Kelly A Peterson accepts insurance

Does Kelly A Peterson offers telemedicine?

Kelly A Peterson has not indicated if she offers telemedicine

What is Kelly A Peterson ’s professional license number?

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What is Kelly A Peterson ’s NPI number?

1255965208

Does Kelly A Peterson have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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