Search › Illinois › 235Z00000X
Kaylee Petersen
NPI 1851069090 · on the registry since 2021 · sole proprietor
Practice
- Address
- 902 N Church St
Gibson City, IL 60936 - Phone
- (217) 784-4278
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-02
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