SearchIllinois101YP2500X

Ross Peterson

NPI 1861577165 · on the registry since 2006

Practice

Address
1610 Luther Ln
Park Ridge, IL 60068
Phone
(847) 795-3166
Fax
(847) 823-9222
Clinicians at this address
11

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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