Search › Illinois › 111N00000X
Ronald Peterson, D.C
NPI 1891064226 · on the registry since 2011
Practice
- Address
- 815 Lincoln Hwy Ste 101
Fairview Heights, IL 62208 - Phone
- (618) 589-3911
- Organisation at this address
- New Venture Pharmacy
Affordable Eyecare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-29
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