Individual
PETER WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 N RIVER RD, SUITE 210, DES PLAINES, IL 60016-1272
(847) 759-4060
(847) 759-4066
Mailing address
7607 MADISON ST, FOREST PARK, IL 60130-3513
(708) 366-7177
(708) 366-3301
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036046395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01605969
BCBS
IL
05
—
036046395
—
IL
Enumeration date
07/01/2005
Last updated
12/01/2011
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