Search › Illinois › 103T00000X
Allan Peterson, PSY. D, MDIV
NPI 1346208410 · on the registry since 2006
Practice
- Address
- 4300 W Irving Park Rd
Counseling Center
Chicago, IL 60641 - Phone
- (773) 736-1447
- Fax
- (773) 736-6970
- Organisation at this address
- Lydia Home Association
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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