Individual
ANGELA OBONDO PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
25 N WINFIELD RD STE 500, WINFIELD, IL 60190-1379
(630) 232-0280
(630) 232-3895
Mailing address
25 N WINFIELD RD STE 500, WINFIELD, IL 60190-1379
(630) 232-0280
(630) 232-3895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025487
IL
363LF0000X
Family Nurse Practitioner
2017028749
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/28/2015
Last updated
11/11/2024
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