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Anastasia Peterson
NPI 1295246841 · on the registry since 2017
Practice
- Address
- 13135 W 21st St
Wadsworth, IL 60083 - Phone
- (847) 731-3192
- Fax
- (847) 731-3194
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois