SearchIllinois163WF0300X

Kyle Peterson, RN

NPI 1417584541 · on the registry since 2020

Practice

Address
5700 S Maryland Ave
Chicago, IL 60637
Phone
(773) 702-3222
Clinicians at this address
24

Registry record

Primary taxonomy
163WF0300X
163WF0300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-10

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