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Organization
MED CONTRACT INC
Active
Organization
MED CONTRACT INC
Active
Other names
Dr. Patrick E. Peterson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK EDWARD PETERSON D.O. (HEALTHCARE PROVIDER)
(618) 273-2100
Entity
Organization
Contact information
Practice address
911 4TH ST, ELDORADO, IL 62930-1203
(618) 273-2100
(618) 273-2110
Mailing address
210 BLUE EARTH LN, HARRISBURG, IL 62946-4576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361037154
—
IL
Enumeration date
03/08/2006
Last updated
09/12/2008
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