Search › Illinois › 174H00000X
Amanda Petersen, CBE
NPI 1487908547 · on the registry since 2012 · sole proprietor
Practice
- Address
- 103 E Macarthur Ave
Bloomington, IL 61701 - Phone
- (309) 336-3265
- Fax
- (309) 336-3265
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Sex
- Female
- Record last updated
- 2012-10-28
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