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Individual
MRS. PEGGY ANN PREIDIS
Active
Individual
MRS. PEGGY ANN PREIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209005798
IL
363LF0000X
Family Nurse Practitioner
Primary
209005798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209005798
STATE LICENSURE
IL
Enumeration date
01/06/2006
Last updated
08/31/2022
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