Individual
ELIZABETH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1531 INSPIRATION DR APT 3017, DALLAS, TX 75207-3767
(720) 985-7589
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
051305104
IL
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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