Individual
MICHAEL E PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3360 LACROSSE LN, SUITE 106, NAPERVILLE, IL 60564-8136
(630) 696-4404
(630) 696-4405
Mailing address
3360 LACROSSE LN, SUITE 106, NAPERVILLE, IL 60564-8136
(630) 696-4404
(630) 696-4405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078421
IL
Other
Enumeration date
10/04/2005
Last updated
10/18/2007
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