Individual
DR. CONSTANTINE G PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-4000
(708) 923-5859
Mailing address
2338 IMMOKALEE RD # 186, NAPLES, FL 34110-1445
(239) 330-2933
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036107020
IL
208M00000X
Hospitalist Physician
Primary
036107020
IL
208M00000X
Hospitalist Physician
OS17162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107020
—
IL
05
—
110688200
—
FL
Enumeration date
08/08/2006
Last updated
01/13/2026
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