Individual
DR. JESSICA ARETHA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6250 S COTTAGE GROVE AVE, CHICAGO, IL 60637-2530
(773) 702-2193
Mailing address
1136 S DELANO CT W, CHICAGO, IL 60605-3740
(813) 610-5996
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036163367
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036163367
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
05/23/2024
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