SearchIllinois347C00000X

Denise Peterson

NPI 1548708407 · on the registry since 2017 · sole proprietor

Practice

Address
524 23rd St Apt 3
Rock Island, IL 61201
Phone
(309) 433-5760

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-10

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