Individual
ALLYSON ELAYNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 989-3800
(773) 907-1005
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01089804A
IN
207P00000X
Emergency Medicine Physician
Primary
036159608
IL
207P00000X
Emergency Medicine Physician
83254-20
WI
Other
Enumeration date
03/28/2019
Last updated
05/30/2024
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