Search › Illinois › 106S00000X
Ava Petersen
NPI 1467331058 · on the registry since 2025
Practice
- Address
- 920 S Prairie Dr Unit G
Sycamore, IL 60178 - Phone
- (779) 269-4065
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 106E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-14
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