Individual
DR. JOHN ANDREW PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W STATE ST, JACKSONVILLE, IL 62650-1910
(217) 243-9471
(217) 243-5359
Mailing address
15 FOUNDERS LN, STE 100, JACKSONVILLE, IL 62650-3924
(217) 243-0300
(217) 245-6527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036055264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055264
—
IL
Enumeration date
02/10/2006
Last updated
04/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us