Individual
ANDREW MICHAEL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W GOLF RD STE 105, NEPHROLOGY ASSOC. OF NORTHERN ILLINOIS, MOUNT PROSPECT, IL 60056-4276
(847) 439-8780
(847) 298-6395
Mailing address
120 W 22ND ST, NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, OAK BROOK, IL 60523-1557
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119166
IL
207RN0300X
Nephrology Physician
Primary
036119166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119166
—
IL
Enumeration date
04/15/2008
Last updated
04/29/2025
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