Individual
PETER ALLEN FERSZT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(586) 404-0487
Mailing address
1465 W CARMEN AVE APT 3E, CHICAGO, IL 60640-2998
(586) 404-0487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041439189
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
135145
IL
Other
Enumeration date
04/13/2021
Last updated
06/05/2021
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